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GROUNDWATER SAMPLING RECORD ISAMPLE No. N1w - <br /> Project No: Location: �7 Page of <br /> Date: Weather Conditions: Personnel: <br /> V3�18 C�aai � ? C1�� /o ' Y' �• � �oS2. � f' Jf�ra�eS <br /> Comments: <br /> �r ri"i.c( 54 <br /> INSTRUMENTS USED <br /> Instrument ManufactureNModel Serial No. Calibration <br /> Water Level Probe . -?" S 9 4S/s,t <br /> pH Meter Sid: 4 23 10 1 1R eC Reading '7,o Slope: <br /> pH Meter Sid:Z 7 10 Q 12, *C Reading Y,O <br /> Specific Conductance Meter Std: ,`9/ 3 uS @ 25 eC Reading 1 N!3 <br /> Specific Conductance Meter Sid: uS Q 25 eC Reading <br /> Temperature YS� Pr-a /0 3 a S�? <br /> Other. <br /> Filtration 0.45 micron in-line high capacity disposable filter. <br /> WELL PURGING INFORMATION <br /> i <br /> Casing Diameter Qnches): 2 Borehole Diameter(inches): (o I Screened Interval(ft.BGL): 3Ja.Lif <br /> Depth to Water(ft below MP): L-/O. ITotal Depth(ft): Srt 3 7 Card Volume(gap: 5 (gaft,1.5'-0.09; 2"-0.16:4"=0.65) <br /> PurghgMediod: <br /> Comments: Monitoring point(MP)is the top of the PVC wen casing.- <br /> Depth to Specific <br /> Date/ Vol.Purged Water Conductance Temp Appearance <br /> Time (gal) (feet below MP) pH (uS025 dog C) (degQ (color,sediment,etc.) Comments <br /> S — L/ .2,1 <br /> ,/ 4/,7 a G, <br /> it 11-102 3.2 C11, ?2 6,9>3 L/62Yt- <br /> Cummulative volume Purged: (gallons) 3.1 (casing vol <br /> WELL SAMPLING INFORMATION <br /> Sampling E Gl Ls-f- <br /> Comments: <br /> SAMPLING MEASUREMENTS: <br /> Depth to Depth Specific Other Other <br /> Date/ Water Sampled Conductance Temp <br /> Mme 3 (feel below MP) (feet Wm MP) pH (us®25 deg C) deg C) Comments <br /> 12. 30 14/.7Z <br /> SAMPLE HANDLING: <br /> Date/:�3Aliquots Filtered Preserved <br /> Time Volume(ml) Bottle Composition Ouanttty (Y/N) (type) Comments <br /> 12:0o Sow Ll�PE' 1 Y HNo <br /> +2: o0 2SsJ LDPJ% 1 !� (a So <br /> l� :�a S'a� LPf G 1 N Nonsz <br /> Sao LOPE I N t,340 A.- <br /> Field QA/QC Samples Collected a Sample No. : <br /> Equipment Decontamination: <br /> WasteDis osal: �- <br /> Signature of Field CLOSE CONSULTING GROUP LLC <br /> Windsor,CO 970 290-6239 <br />