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i <br /> i �,`sacAEB NL! NII 1--VORINC NVELL PURGING AND SAMPLING L06 <br /> �i ,t rYYLSaw <br /> �.,i�.tx �attreas �,n � �i t� / yI �T,�� -y�1p �,�eS7► g� �. ?/E <br /> d 777777777' <br /> �x7777' 7- <br /> w tier 1 tizl'vI der 00 d ' �fntcrtat�Pmbe tti „tom in l �� <br /> sLer Qualtri vfdcx iAi"ie!lr) l Dec.oniainuiaiton`fWjud - r rr— �u w�31 , i le, _ set <br /> if irging Yletliool VC 13ailvs 'racuum Track _ Surnicnlnle Pump _--_ Other <br /> I <br /> tmpimg,lukhod T'fjon B uie-r Disposabl,13ailar _ _outer <br /> Borehole Diamder(Circie) 8" 10" 12" Casing Diameter(C�ircle) 2" 4" 6' 12" 1R" 21" <br /> Borehole �fulbpller(Brvf)(gauonshoot) 081 15 Casing Multiplier(CM)(6'allmiroot) (1?6 0 65 1 37 --,37 13 2 23 <br /> Depth o Free Product(teei) �� J Borehole Volumes(BZW <br /> Depth to Wates(DTYV)(feet) WC x BM (BV)(gai) a 1 5 BV(gat) <br /> Total Well Depth(feet) I Casing Volumes(CV) <br /> W its Column(WC)(1ed) t WC v Cbf = (CV)(0) x 3 0 CV(gal) <br /> Free Proaud Thickness(feet) -- Free Product Purged(gallons) _ <br /> K R <br /> CumVol Purged Electric Conductivity Dissolved Turbidity Odor <br /> Time DTW(ft) [�euons3 T�Cc) pH (w or mhos) Oxygen(mg![) R1Ti� (YeslNo) <br /> Purgmg Starr Time <br /> Total Gallons Purged <br /> Purging End Time <br /> Time Sampled � Depth to Water Q Sample Time(DTWs) r <br /> Filtered Analytical Parameters <br /> Contamcr Types,Volumes,&Quantities <br /> (ye no) Sample Preservatives (sass out all NOTapphcable) <br /> nQ mL YOAs N Ice and HC1 TPHg / BTEX / MTBE / oXXs <br /> IS 111111i <br /> 7!D7mwd7own(DTWm xfeei) Approximate Flow Rate(GPM) <br /> Recovery <br /> "Recovery =1 DTA TW-D7-Ws) x 100 Calculation M.Recovery =1 C 100 <br /> (DTW-DTWm) <br /> Recovery Type _Fast Slow %Recovery= <br /> ATG Representative(s) <br /> L_�CJ <br /> Subcontractor <br /> Signature Datc �� <br />