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UX5 Faee Une of <br /> 2370 Gatet-y Oaks Drive,Suite 300 Monitoring Well Sampling Data <br /> Sacramento.CA 95833. Phone:(916)679-2000 <br /> Well No.: <br /> Project: RF S 1,�, f FnUj l j Q10 Job No.: 1-7-3 2-(o c��`l e 0100-3 <br /> Location: <br /> Sample Date: /p Sampled B J <br /> Sampling NOW: M —I_3 reviewed By: Date: <br /> I'm-nrlin'-Y t:im .;is): Ve 27 Weatber: t2LIy°Aj <br /> ' QC Sample No(s): Ambient Temp.: (T) <br /> QC-Sample Tirne(s): WATER ELEV DATA <br /> Sampling IN•,Ieth : Dedicated Disposable Date of Measurement: / ld <br /> Method of Measurement--/-7—p <br /> Well Casing elevation (WCE) ftDepth Sounder No: 0 _ <br /> ' (From casing lnp as marked) Transducer <br /> 2) Depth to Water Surface (DTW) y ft k Casing Top <br /> (from casing top as marked) <br /> A^ � (2)DTW <br /> 3) Total Depth of Well ft ..�x <br /> ' (from casing top as marked) (3 TD Water Surface <br /> � Or Packer <br /> 4) 1-leight of water Column (H) � <br /> (a)H <br /> TD-DTW.==H <br /> 1 Sea Level <br /> WELLPURGE AND SAMPLING DATA t' <br /> Single Casing Volume of Water in Well (CV) tl Well D't ter(in) volume`lLjpeal ft.(V)(gal/ft) <br /> (H X Nr=CV)if V is known,else use CV calc.Below � 0:] <br /> 3 0.3(17 <br /> Number of Casing Volumes to Purge (NC) 4 0.652 <br /> 5 1.02 <br /> 16 10. 3 <br /> Tota) Volume of Water to Purge (TV) D CV=(23.49)x[D/24)]x H <br /> (CV X NC=TV<(Date/Time <br /> -- -_� <br /> Purge Methoisposable Bailer F12- <br /> Turbidity <br /> Start of Purg0 JZ LL <br /> Turbidity Removed Flow Rate Physical Appearance and <br /> Time Ten. a * Co (�tS/cin) H* (Nl'CT) ** (gal) (gpm) W ter Levels <br /> INSTRUCTIONS AND COMMENTS(Record additional purging and sampling remarks/observations on back) <br /> Instrument Number: __ "Turbidity Meter No.: <br /> ' Record parameters tlrt•ee times per well casing volume. Indicate the sample time,tow purge volume and tivater level reading as the last row of parameter rendings. <br /> 01s4y DocunxnWPmject rilesk.SO.h° ing data sheet.doc <br /> June 21,2006 <br /> i <br /> 1 <br />