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<br />GROUNDWATER SAMPLING RECORD SAMPLE NUMBER: PAGE: i ot: ~ <br />wr=« -+~( <br />Project No: Sr-l tol - Z Project Name: \ ~~~ \9q9 Gfltfl !\\LL Mu_L SM',P. Date 3 X15 / 99 <br />Sampling Location (well ID, etc.): ~'1j.WEf,Li~ 1 <br />~ <br />Sampled by: MES <br />Measuring Point (MP) of Well: TOC. <br />Screened Interval (ft. BGL): <br />Filter Pack Interval (ft. BGL): <br />Casing Stickup (ft.): ~ <br />Starting Water Level (ft. BMP): 2'~•''1~ <br />Total Depth I1t. BGL): Water Column t (ft): _ <br />Casing Diameter (in IDI: _ M Ication Factor: <br />Casing volume (gal.): X: 3X 4X <br />Water Level 1 PI at End of Purge: <br />Total pth (ft. BMP) et End of Purge: <br />QUALITY ASSURANCE 'JO ~`'`~\''6' GoU.EGTEJ~ SM\PL~ Q1R-sCTI`( <br />FR-ctn ScUec.E <br />METHODS (describe): ~ ~ O <br />Cleaning Equipment: At_CCrJGk~-f AP H=D WtS!\ l~i0s 2~~SE D\S-rtLtEi~ \-\~ R~wS F <br />~ - <br />Purging: p~~tGP.Tt=pp L'~.~t~~ ~ N3~o>,1 ~cPESampling: ~~ <br />Disposal of Discharged Water. D~SCt+A~GE-(~ "TO 6Reu~11~ <br />INSTRUMENTS (indicate make, model, i.d.): <br />Water Level: ~Ltt•t5T 101 -300 Thermometer: JiTC P'~C~E <br />pH Meter: ~~\o~ 25c~A Field Calibration: y ~ } 1''N f~(-{~~ <br />Conductivity Meter: GP. W5l-~\ Field Calibration: 3GC•~ ,~t.t,,hoS /Cu 5-t~li~ <br />Filtration: O ~\5 t - \ut= D\S Sh4L~ Other: <br />SAMPLING MEASUREMENTS <br /> Purge Characteristics Water Duality Deta Appearance <br />Date/ <br />Time <br />Cumul.VOl. <br />Purge <br />Temp. Specific Conductance <br />4rtnhoslcm) <br />Turbidity <br />Remarks <br /> Igaf(L Rate (gpm) 1'CI PH @ Field Temp. @ 25' C. Color & Sediment <br /> - 3.5 6. ` 20 ~ uaN -~ <br /> .As <br /> <br /> <br /> <br /> <br /> <br /> <br />Water Level (ft. BMP) at End of Purge: Sample Intake Depth (ft. BMP): <br />SAMPLE INVENTORY <br /> Bottles Collected <br />i <br />Fil <br />P <br />i <br /> <br />Time <br />Volume <br />Composition (glass, plastic) <br />Quantity trat <br />on <br />IY/N) reservat <br />on <br />(type) Remarks <br />(quality control sample, other) <br /> \\00 - 2 `{ tuG. F SZEG <br /> 0 1 v S-T <br />Chain-of-Custody Record No. 1.1\F~ ~_O.C. ~ H182Z <br />ABBREVIATIONS: <br />BMP -below measuring point C -Celsius <br />BGL -below ground level pal. -gallons <br />Cumul. Vol. -Cumulative volume removed ppm -gallons per minute <br />ID -Inside Diameter rn. -Inches <br />MCCULLEY, FRICK & GILMAN, INC. <br />4900 PEARL EAST CIRCLE <br />SUITE 300W <br />BOULDER, CO 80301 <br />(303) 447-1823 <br />