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GROUNDWATER SAMPLING RECORD ISAMPLE No. 1\41W - (o <br /> Project No: Location: Page I of g <br /> o(, - o-� ! GcG P16 ,- <br /> Date: Weather Conditions: Personnel: <br /> 1V3 /$ I C fee'r- . C IDe.3. � L-10 ° {% 13. C ( areS <br /> Comments: <br /> INSTRUMENTS USED <br /> Instrument Manufacturer/Model Serial No. Calibration <br /> Water Level Probe r:"-r 58ES1612.7 <br /> H Meter Y Or-. /J 3 o 56 9 7 Sid: 4 0 10 Q 17,FS eC Reading 7, 4 Slope: <br /> pH Meter Std:t.� 7 10 ®I7 i eC Reading y,O <br /> Specific Conductance Meter Y s Z Pr. / o 3 J S(,'7 Std: /N/3 uS Q 25 eC Reading 5 <br /> Specific Conductance Meter Sid: uS Q 25 eC Reading <br /> Temperabxe Y55/ tflr. /,a 5697 <br /> Other. <br /> Filtration 0.45 micron in-line high capacity disposable filter. <br /> WELL PURGING INFORMATION <br /> Casing Diameter s): Z Borehole Diameter(inches): 6 1 Screened Interval(ft.BGL): <br /> Depth to Water ft below MP: S O.-7 L/ Total Depth(ft): S Cf, 5 5 Casin Volume( /.y alift 1.5'-0.09; 2"-0A6;4".0.66) <br /> Purging Method: 6 a'.r/ r o( <br /> Comments: Monitoring point(MP)is the top of the PVC well casing. - b 14 a_Q n,a jc <br /> Depth to spook <br /> Date/ Vol.Purged Water Conductance Temp Appearance <br /> Time (gal) (feet below MP) pH (uS 0 25 deg C) d C) (color,sediment,etc.) Commends <br /> 5.-;, <br /> S4. 1S G,62 (-f -fS <br /> /o,, 30 /,S S'7 33 G, )R Ll4-(9 /If.S <br /> ia:y 0.7E se), 01 6,qq 50 3Q !�1. K <br /> cummulalive Vakwne : 3-G S aeons 2,to (casing-1 <br /> WELL SAMPLING INFORMATION <br /> Sampling E ee', lei <br /> Comments: /3 <br /> A,,14 <br /> SAMPLING MEASUREMENTS: <br /> Depth to Depth Specific Other Other <br /> Date/ Water Sampled Conductance Temp <br /> Time (feet bebw MP) (feet below MP) PH (uS®25 deg C) (d C) Comments <br /> V3 ILY:l _SF.LJS 58 ,9E 91 Z0 /y.a <br /> SAMPLE HANDLING: <br /> Date// Aliquots Filtered Preserved <br /> Time 3 Volume(nit) Bottle Composition Quantity (Y/N) (type) Comments <br /> 1,14a » L-/3Pr I `f' WN�3 <br /> tLf:Io LCpPE <br /> Field QA/QC Samples Collected a Sample No.): <br /> Equipment Decontamination: <br /> / /- <br /> Waste Disposal: <br /> Signature of Fuld Pefsonne CLOSE CONSULTING GROUP LLC <br /> -- � �' '`— Windsor CO 970 290-6239 <br />