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1 En <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> LProlectName Exxon Well No MW3 Date�y'lN 4$ <br /> ProfectNo 5150137 1300 Personnel Chris Chatburn <br /> GAUGING DATA <br /> Water Level Measuring Method Interface Probe Measuring Point Description TOC <br /> Casing 'total Req'd <br /> WELL Total Depth"toWaterterColumn Multiplierfor VolumePurgeVolume <br /> VOLUME (feet) (feet) X Casing Diameter (gal) (gal) <br /> CALCULATION5502 � 2 4 6 ! �� �� <br /> 0 16 0 B4 144 <br /> PURGING DATA <br />' Purge Method Vacuum Truck Purge Depth Screen Purge Rate ,-b-3-u' GPM <br /> Time <br /> x s 3 <br /> Tif� <br /> Volume Purges(gal)ll <br /> M,,-' d �Z, <br /> � r . <br /> Specific C�nducttvity umbos} f. may f 3 4 l 1,/�7 A S�-� <br /> ityfl0 J� • Y {� vC�ctY <br /> A <br /> Casing�/o umesAemoved k � � ,� .j <br /> Dered?n ° A/ f <br /> ewat <br /> Comments/observations <br />' SAMPLING DATA Time Sampled0.3© Approx Depth to Water During Sampling ;4.:;Z- Feet <br /> Comments <br />' - � Volume �� Shipped tJride�iChain"l in sis <br /> Sample Nu ConiBine nal is �K{ �FllIed� z�_ � of Custody at 4t �"_�Numit <br /> t)er Cori!2,7f <br /> er . Turbid� Coior Method CommentsY,_ . mLOrt. S Mme,.�.. Fu�9i��. .-.ns,s�t.xr IN �MW3 3 � Voa HCL � 40 mL ��,� ��,,� <br /> s Y MTBE VHg BTE% <br /> ' Total Purge Volume Gallons Disposal/ContainmentMethod Trailer to Romic <br /> Weathe rCondons S <br /> onditton of Well fox and Casing at lime of Sampling <br /> ell Head Conditions RequtnngCorrection(locks,damaged casingorwell box,etc) �L <br /> Problems Encountered Dunng Purging and Sampiing <br /> Comments <br /> F PROJFCTS17o1371PUBLI=AMPLINGIMW3 PM5 <br />