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<br /> <br />GROUNDWATER SA PLING RECORD PAGE: i of: 1 <br />SAMPLE NUMBER: "`„r ,~ - <br />Project No: SCI tol - Z Project Name: 1 ~~~ \q9q CpLD HItL ;+t\u_l Sk+AP. Date 3/25 /99 <br />Sampling Location (well ID, etc.): ~t \,vELI 4~y <br />Starting Water Level Ift. BMP1: 3(.09 <br />Sampled by: h\t=5 Total Depth Ift. BGL): Water Column t Ift): _ <br />Measuring Point (MP) of Well: TOG Casing Diameter lin ID): M ication Factor: <br />Screened Interval (ft. BGL): Casing Volume (gal.): X: 3X aX <br />Filter Pack Interval Ift. BGL): Water Level ( P) at End of Purge: <br />Casing Stickup (ft.): Total th (ft. BMP) at End of Purge: <br />QUALITY ASSURANCE '''O ~`'~G\',6' CoLL.EGTEI~ SPMPI.~ QtFsLTLY <br />FY-crn ScU2C+= <br />METHODS (describe): <br />Cleaning Equipment: ~At_~O>..1C.~~-fAP HAD WtSN ~ H110 3 R~~~ ~ t>\STtt_LEp ~~] R\~1 F <br />Purging: pF~\LA-CL-LS DA\t.~_ ~ t~VO\J Qc.F'CSampling: " <br />Disposal of Discharged Water: p~SCtM~G~ "TO 6keywll~ <br />INSTRUMENTS (indicate make, model, i.d.): <br />Water Level: 'SoL\NST \pl -3CC Thermometer: j\-iC P~'-CAE. <br />pH Meter: r2\or.1 25c\A Field Calibration: c{ ~ } s' N ew~~~S <br />Conductivity Meter. r P. ~4S1-~\ Field Calibration: yGC~J oS /CL; 5't>Ji~ <br />Filtration: O MS L>1 - 1~1E p\S ~SKt1LE 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 />1/imhos/cml <br />l <br />Turbidity <br />Remarks <br /> L Rate (gpm) 1•CI pH @ Field Temp. @ 25' C. or <br />Co & Sediment <br />21 O 5 3.8 9 f Tv <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Water Level (ft. BMP) at End of Purge: Sample Intake Depth (ft. BMPI: <br /> SAMPLE INVENTORY <br /> Bottles Collected <br /> Fil <br />i i <br />P R <br />k <br /> <br />Time <br />Volume <br />Composition !glass, plastic! <br />Quantity trat <br />on <br />(YlN) reservat <br />on <br />(type) emar <br />s <br />(quality control sample, other) <br /> I l10 2 ~{ a1G ' F iZEL <br /> 210 v ST <br /> <br /> <br /> <br /> Chain-of-Custody Record No. /.AF-~ r.O.C. ~ H182Z MCCULLEY, FRICK & GILMAN, INC. <br /> 4900 PEARL EAST CIRCLE <br /> <br /> ABBREVIATIONS: <br />BMP -below measuring point C -Celsius <br />BGL -below Around level gal. -gallons <br />Cumul. Vol. -Cumulative volume removed ppm -gallons per minute <br />ID -Inside Diameter m. -Inches SUITE 3OOW <br />BOULDER, CO 80301 <br /> <br />(303) 447-1823 <br />M:\G EN ERAL\FDRM S\GRDN?R. SMP <br />