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® d MONITOR-ING W LL FIELD SAMPLING LCIO <br /> Project: g`ac_r o ��ro Prc 9e-rh- I N C O R P O R A T E D <br /> Project No. 'j. Ool , 01 <br /> Location: �,��ro p e <br /> ll ID <br /> Technician: �ti ��V k <br /> Activity: <br /> [ ] Quarterly Sampling <br /> WELL SECLJRIT�' ❑ Develop/Sample <br /> Well Box Set in Concrete? Date <br /> No Comments <br /> Box Cover Equipped With Bolts and Gasket? <br /> Vs No <br /> Weil Casing Equipped With Well Seal and Lock? No <br /> rXWCV <br /> CONSTRUCTION AND NATER LEVEL, DETAILS <br /> Monitorin Date q ®� <br /> Monitoring ❑ Extraction We11 with Pump ❑ Other <br /> eter Free Product Measurement <br /> c) J (Enter measurements for wells with free product history) <br /> c) Enter"0.0" if no measurable free product -->� T <br /> 9� CV Factors <br /> DTFP (fbtoc) 2" = 0.17 <br /> �"1 DTW(fbtoc) <br /> (Purge Vol} FPT(ft) 411 — 0.66 <br /> PURGING, SAMPLING ANI) DECON EQUIPMENT 6" = l.so <br /> Purging: Disposable .Date <br /> ❑ 12-V ❑ <br /> Bailer p� Subm. Comments <br /> Sampling: Pur <br /> m) <br /> g Disposable 12-V Subm <br /> Bailer ® ElOther <br /> PUMD Pum <br /> Decon: Was purge pump decontaminated before and after this use? <br /> Decon Product: TSP/Alconox ® Yes LJ No <br /> PURGE WATER STORAGE/DISPOSAL (For Last Well Sampled Only)!2� t�.�A� t <br /> Drums Onsite Arrival 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 /> PHYSICAL PARAMETERS Purge <br /> No <br /> Time Volume Tern Date <br /> ,c,, p p� Redox DO DTW 80% <br /> Ptfrgbd (C degrees ) �►�' Cyt t <br /> 3 p a �6 Recovery <br /> 11 1-7 <br /> ❑ Sample collected through groundwater treatment system using active extraction pump; no purging required. <br /> LABORATORY ANALYSIS <br /> Number/Type Containers <br /> Preservative: VOA's <br /> 1-liter Ambers 500m1 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 WCV=Water Column Volume(gallons)=WC X WCV Factor <br /> FPT=Free Product Thickness <br />