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<br />GROUNDWATER SA PLING RECORD SAMPLE NUMBER: .A, PAGE: 1 of: <br />ELL at~' <br />Project No: Sr-t tot - Z Project Name:_1 ~cA~ t2 \4q9 Goth HU-t_ >"u_~ SM+P. Date 3 X25 / 99 <br />Sampling Location (well ID, etc.): WELL r~ Z <br />Starting Water Level (ft. BMP): SH ,~2 <br />Sampled by: MES Total Depth lft. BGLI: Water Column t lft): _ <br />Measuring Point IMP) of Well: TOG Casing Diameter (in ID): _ M ication Factor: <br />Screened Interval (ft. BGL): Casing Volume (gal.): X: _ 3X _ 4X <br />Filter Pack Interval Ift. BGL): Water Level 1 P) et End of Purge: <br />Casing Stickup (ft.): Total pth lft. BMP) at End of Purge: <br />QUALITY ASSURANCE ''° PJ~G\,:a6, C.oLLEGTIJ~ SPr~Pt.~ 4tRccTLY <br />FR-cry. ScUeLE <br />METHODS (describe): <br />Cleaning Equipment: ~ACCOt.1C. ~~'fAP i-1 zo W:tSl1 ~ ){tj0 3 Q~~SE= ~ D\STtLLEl~ ~~ RW F <br />Purging: p~.~tGA~L-LS DA~t_~ ~ t-~VOti1 Q~cpESampling: <br />Disposal of Discharged Water: D~SC\iA~L-,F~ -TO 6Roual~ <br />INSTRUMENTS (indicate make, model, i.d.): <br />Water Level: '~UNST tpt -3~C+ Thermometer: AlC PR-c.~E <br />pH Meter: cQ~o~1 25C~A Field Calibration: y ~ } l'N ew(-FF~S <br />Conductivity Meter: r P. X481-(e\ Field.Calibration: 1C~A AwL~oS /Cu S't>,11> <br />Filtration: p r-t~j L» _LtVE ~tSPcShOI~ Other: <br />SAMPLING MEASUREMENTS <br /> Purge Characteristics Water Quality Data Appearance <br />Oate/ <br />Time <br />Cumul.VOl. <br />Purge <br />Temp. Specific Conductance <br />lymhoslcm) <br />Turbidity <br />Remarks <br /> (g L Rate Igpm) l'CI pH @ Field Temp. @ 25' C. Color & Sediment <br /> - •`I o2 2d <br /> c <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 />Fil <br />i <br />i <br />P <br />R <br />k <br /> <br />Time <br />Volume <br />Composition (glass, plastic) <br />Quantity trat <br />on <br />IYlNI reservat <br />on <br />(type) emar <br />s <br />(quality control sample, other) <br /> 1115 - Z `( NG . F S.ZEG <br /> 1 5 - v S-T <br /> <br /> <br /> <br /> Chain-of-Custody Record No. MF,~ r.O.C. ~- H182Z MCCULLEY, FRICK & GILMAN, INC. <br />4900 PEARL EAST CIRCLE <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 in. -inches .SUITE 300W <br />BOULDER, CO 80301 <br /> <br />(303) 447-1823 <br />M:\GE NERAL\FORMSG RD W TR. SMP <br />