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<br />GROUNDWATER SAMPLING RECORD SAMP• UMBER: PAGE: i of: <br />Project No: Sal col - 2 Project Name:_I_?=''~~ \q9~ ~Lp 1~\LL rntLL SM~tP. Date 315 /99 <br />Sampling Location (well ID, etc.): W~LL#~2 <br />Starting Water Level (ft. BMP): sH •~~-~ <br />Sampled by: MES Total Depth (ft. BGL): Water Column t (ft): <br />Measuring Point IMP) of Well: TOG Casing Diameter (in ID): M ication Factor: <br />Screened Interval (ft. BGL): Casing Volume (ga1.1: X: 3X 4X <br />Filter Pack Interval (ft. BGLI: Water Level ( PI at End of Purge: <br />Casing Stickup Ift.): Total th (ft. BMP) at End of Purge: <br />QUALITY ASSURANCE *'c ~`~~\16, Goc1EGTC,J~ SA^>LPL~ Dt\'zGTL~( <br />FY-orn Sc(u~OE <br />METHODS (describe): r~ <br />Cleaning Equipment: yAtCCtJC.)C~-rAP HiD WkSH ~ 1-H.10 3 R~*,~ ~ p\STtLLEl~ ~~ R~w1 F <br />Purging: nF~tGA-cL-A pP,~LE~ ~ N?to~1 ~c.QESampling: " <br />Disposal of Discharged Water: A~SCtan¢-GE.p -TO 6Rcuwlf~ <br />INSTRUMENTS (indicate make, model, i.d.): <br />Water Level: -~Lt*L5T \pt -3~c Thermometer: A-cC P~'CS3E <br />pH Meter: r-)z\0~1 25c~A Field Calibration: y ~ } t N Qw(-F~~ <br />Conductivity Meter. C P. \y8l-lo\ Field Calibration: ~G4A Au..hos /Cu S't~.lt> <br />Filtration: O ~\5 t>1 - t~1E ptS Sh~L~ Other: <br />SAMPLING MEASUREMENTS <br /> Purge Characteristics Water Quality Data Appearance <br />Date) <br />Time <br />Cumul.Vol. <br />Purge <br />Temp. Specific Conductance <br />(l+mhoslcm) <br />Turbidity <br />Remarks <br /> (gaq Rate IgPm) l'CI F1 <br />p @ Field Temp. @ 25' C. Color & Sediment <br />12 <br /> <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 />P <br />i <br />R <br />k <br /> <br />Time <br />Volume <br />Composition )glass, plastic) <br />Quantity trat <br />on <br />(Y/NI reservat <br />on <br />(type) emar <br />s <br />(quality control sample, other) <br /> 12e Z `{ N Nr/ F iTEG <br /> 20 U S-'C <br /> <br /> <br /> <br /> Chain-of-Custody Record No. !J_\~ c.O.C. ~ HI$2Z MCCULLEY, FRICK & GILMAN, INC. <br />4900 PEARL EAST CIRCLE <br /> ABBREVIATIONS: <br />BMP -below measuring point C • Celsius <br />BGL -below ground level gal. -gallons <br />Cumin. Vol. -Cumulative volume removed ppm -gallons per minute <br />ID -Inside Diameter in. -Inches .SUITE 300W <br />BOULDER, CO 8030 <br /> <br />(303) 447-1823 <br />M:\GENERAI\FORMSIGRO WTR.SMP <br />