2005-10-18_REVISION - M2004078

• Permit No: M2004078
• IBM Index Class Name: Revision
• Doc Date: 10/18/2005
• Doc Name: Water Quality Monitoring Plan and Ditch Stabilization and Erosion Control Plan
• From: SW TKO Joint Venture LLC
• To: DMG
• Type & Sequence: TR2
• Media Type: D
• Archive: No

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GROUNDWATER SAMPLINzG REC.O~RD P"GE~-°f~-
SAMPLE NUINBER:
Project No: Project Name:
Sampling Location (well ID, etcr-:
Sampled by:
:Measuring Point (NIP) Of Wells
Screened Interval (ft. BGL):
Filtier Pack Interval Ift. BGL):
Casing Stickup Ift.): Date
Starting Water Level Itt. eMPI:
Total Depth lit: BGL): ~ Water Column Height (ft): ,
Casing Diameter fin ID)s _ Multiplication Factor:
Casing Volume (gal.): ______ 2X: _ 3X _.4X
Water Level Ift: BMPI at End of Purge:.
Total Depth Ift. BNIP)at End, of Purge:
Cf:UALI7Y ASSURANCE
METHODS (desdribe):
Cleaning Equipment:
Rurgmg: ~
pisposal of Discharged Water:
INSTRUMENTS {indicate make, model, i.d:1":
Water Level:
pH Meter:
Conduotivity fNeterr
Filtration:

Sampling:

Thermometer
Field Calibration;
Field.Calibration:
Other:
SAMPLING MEASUREMENTS
Purge, Characteristics Water Quality Data Appearance
Date/
Tlme
CumuLYol.
Purge
Temp. $pacifie CondYCtance
WmhosYcm)
Turtiir7ky
Remarks
(gat) Rata Igpm) (°CI pH @Field Temp. @.26° Gi Color & Sediment

Water Level (ft. BMP) at End of Purge: Sample Intake Depth eft. BMF):
SAMPLE INVENTORY
Bottles Collected
Fih
io
P
i

Time
Volume
Composi{ion (glass, plastic)
Quantity rat
n
(Y/NI on
reservat
(typal Remarks
(quality control sample, other)

Chain-of-Custody Record No. ~
~~"" _ ~ Ci~l R@sourcesltL
~' ~ ~, Oakteet~SP)it~209 - ~~

ABBREVIATIONS:
BMF • below measuring-point C-Celsius
BGL - below ground level gal: -'gallons
Cumul. Vol. •~Cumulative volume removed gpm,-gallons per minute
ID -Inside Diameter _ ~in. -~inGhes P 0`° ox 680 __
.~
F'f`edeflak~C X531)

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