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MONITORING WE L FIELD SAMPLING L <br /> "act"- EO <br /> " 'roject: ; > r1 N C O R P O R A T E D <br /> Project No. c) 1 <br /> Location: L a ���o Well <br /> ID <br /> Technician: neo IN (AJ <br /> Activity: (quarterly Sampling <br /> ❑ <br /> WELL SECURITY Develop/Sample <br /> Well Box Set in Concrete? Date -3 , l4- 0 b <br /> e N0 Comments <br /> Box Cover Equipped With Bolts and Gasket? <br /> Well Casing Equipped With Well Seal and Lock? No <br /> No <br /> WELL CONSTRUCTION AND WATER LEVEL DETAILS <br /> Well Type ® Monitorin Date - N-04 <br /> Well Diameter g ❑ Extraction Well with Pump ❑] Other <br /> aa, Sd Free Product Measurement <br /> DTW(fbtoc) (Enter measurements for wells with free product history) <br /> BOC(fbtoc) 3'L Enter"0.0" if no measurable free product --® <br /> WC(fl WCV Factors <br /> DTFP(fbtoc) <br /> WCV(gal) t. ` S2" = 0.17 <br /> DTW(fbtoc) <br /> 3 Y WCV(Purge Vol) 3, y FPT(ft) l <br /> PURGING, SAMPLING AND RECON EQUIPIVIENT 611 <br /> Purging: Disposable Date —z. iq r0 L <br /> ❑ 12-V ❑ Subm. Comments <br /> Bailer Pum <br /> Sampling: ❑ DisposableI2 Pum <br /> ® -V <br /> Bailer ❑ Subm. Other <br /> Pum ❑ <br /> Decon: Was purge pump decontaminated before and after this use? Pum <br /> Decon Product: TSP/Alconox ® Yes ❑ No <br /> PURGE WATER STORAGE;D11 11 <br /> ISp®SAL (For Last Well Sampled Onit'f <br /> Drums Onsite Arrival y) Date <br /> Drums All Labeled? Yes No (Attach Inventory) <br /> Drums Used This Event Drums Leakin ? <br /> Total Drums Onsite Now Yes No Gallons <br /> Purge Water Processed Through GWTS? <br /> 1'i YSIC'AL P METERS Yes No <br /> Volume Date -4- la- ob <br /> Time Vo <br /> cc�� Temp pH EC r ed <br /> PtiRedox DO(C de reel) we J C� DTW 80/0 <br /> Z 3t® �'• <br /> ❑ Sample collected through groundwater treatment system using active extraction pump; no ur in re uired. <br /> ILABORATORY ANALYSIS p g g q <br /> Number/Type Containers OA's'Preservative: I-liter Ambers 500mI Plastic <br /> .'Analysis: <br /> Laboratory/TAT: <br /> _DTW=Depth to Water fbtoc=feet below top of casing <br /> BOC=Bottom of Well Casing <br /> WC=Water Column Height <br /> DTFP=Depth to Free Product <br /> WCV=Water Column <br /> SPT=Free Product Thickness Volume(gallons)=WC h WCV Factor <br />