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<br />.~ <br />GROUNDWATER SAMPLING RECORD SAMPLE NUMBER: PAGE: i or: , <br />a* 3 <br />Project No: 5~1 tel - L Project Name: 1 ~cst2 \499 l~t~ HtI.L nnu_~ SkstP. Date 3 /25 / 99 <br />Sampling Location (well ID, etc.): W E:LL~E3 <br />Starting Water Level (ft. BMP): 25,38 <br />Sampled by: htES Total Depth (ft. BGLI: Water Column t (ft): _ <br />Measuring Point IMP) of Well: TOG Casing Diameter (in ID): M (cation Factor: <br />Screened Interval (ft. BGL): Casing Volume (gal.): X: 3X 4X <br />Filter Pack Interval (ft. BGLI: Water Level (f P) at End of Purge: <br />Casing Stickup (ft.): Total th (ft. BMP) at End of Purge: <br />QUALITY ASSURANCE 'JO P~~GttJG ~ cou.-ECT=.~ srr\pL~ Dtps`c-~LY <br />FR°N. SCUP cE <br />METHODS (describe): ~ ~ O <br />Cleaning Equipment: AUCC~~TAP F1~D WhSH }}Ups Q~t-~S~ DtSTtLtEU H,,p ~~a f <br />Purging: pF~tCA ~CLS DP.~t.~~ ~ NIVOU FcQESampling: <br />Disposal of Discharged Water: D~SC~e~E~ -TO 6keu..11~, <br />INSTRUMENTS (indicate make, model, i.d.): <br />Water Level: 'SoL.tNST tpl -3oC Thermometer: A'?;C P~c\3E <br />pH Meter: ~~o~ 25c~A Field Calibration: c{ ~ } P'tl ew(-f~~S <br />Conductivity Meter: r p, ~y$1-~\ Field.Calibration: 2Gfd~ ~u..hos /C~ S't>J7 <br />Filtration: p y~j ~N - tVE tS ~SR~SI~ Other: <br />SAMPLING MEASUREMENTS <br /> Purge Characteristics Water Gualiry Data Appearance <br />Date/ <br />Time <br />Cumul.Vol. <br />Purge <br />Temp. Specific Conductance <br />(/rtnhoslcm) <br />l <br />Turbidity <br />Remarks <br /> 111' ` Rate (gpml ('CI pH @ Field Temp. @ 25' C. or <br />Co & Sediment <br /> <br /> Yt:LLO T. <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 />Filtr <br />tion <br />Preservation <br />Remarks <br /> Time Volume Composition (glass, plastic) Quantity a <br />(YIN) (type) (quality control sample, other) <br /> <br /> 5 0 v S-T <br /> <br /> <br />Chain-of-Custody Record No. lJ.Ft~ r.O.C. ~ N182Z <br />ABBREVIATIONS: <br />BMP • below measuring point C -Celsius <br />BGL • below ground level gal. -gallons <br />Cumul. Vol. • Cumulative volume removed Qpm • gallons per minute <br />ID • Inside Diameter m. • Inchaa <br />MCCULLEY, FRICK 8t CiILMAN, INC. <br />4900 PEARL EAST CIRCLE <br />SUITE 300W <br />BOULDER, CO 80301 <br />(303) 447-1823 <br />