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r1wWN <br /> MO <br /> 'p,NITORING W1*L FIELD SAMPLING LO* <br /> P 0 R A T E D <br /> Project: Lo,-tkMo rD e r- <br /> Project No. <br /> ID <br /> Location: Well LAJE <br /> Technician; 115 <br /> Activity: RI-Quarterly Sampling <br /> Develop/Sample <br /> WELL SECURITY <br /> Well Box Set in Concrete? Date 0� <br /> No Comments <br /> Box Cover Equipped With Bolts and Gasket? No <br /> Well Casing Equipped With Well Seal and Lock? Yes No <br /> WELL CONSTRUCTION AND WATER LEVEL DETAILS Date <br /> Well Type CZ,Monitoring ETExt=action Well with Pump Other <br /> Well Diameter 12 /1 Free Product Measurement <br /> DTW (fbtoc) 9 . IS' (Enter measurements for wells with free product history) <br /> DOC(fbtoc) 2 Enter"0.0"if no measurable free product 0 WCV Factors <br /> WC(f) DTFP (fbtoc) <br /> 2" = 0.17 <br /> WCV (gal) Q6 DTW(fbtoc) 4" = 0.66 <br /> 3 X WCV(Purge Vol) <br /> —LPT(ft) 6" = 1.50 <br /> PURGING, SAMPLING AND DECOR EQUIPMENTq-0 <br /> Dte <br /> Purging: ❑ Disposable 12-V ❑ Subm. Comments <br /> Bailer Pump PUMP <br /> Sampling: ❑ Disposable 12-V Subm. Other <br /> Bailer -pump ❑ Pump El <br /> Was purge pump decontaminated before and after this use? <br /> Yes ❑ No <br /> Decon Product: Ej TS lconox Decon Rinse: —, r 4 <br /> �e r <br /> PURGE WATER STORAGE/DISPOSAL (For Last Well Sampled <br /> Drums Onsite Arrival Drums All Labeled? Yes No (Attach Inventory) <br /> Drums Used This Event Drums Leaking? Yes No Gallons <br /> Total Drums Onsite Now Purge Water Processed Through GWTS? s No <br /> PHYSICAL PARAMETERS -I- <br /> Date <br /> Time V lurno Temp PHE Redox DO DTW 80% <br /> (C degrees <br /> 3 3 MS/CM Recovery <br /> J7-- qe. <br /> -7 <br /> ❑ Sample <br /> collected through groundwater treatment system using active extraction pump;no purging required. <br /> LABORATORY ANALYSIS <br /> Number/Type Contab-iers L=VOA's erAmbers �500m] Plastic <br /> Preservative: <br /> Analysis: <br /> Laboratory/TAT: <br /> DTW=Depth to Water <br /> fbtoc=feet below top of casing <br /> SOC=Bottom of Well Casing 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 />