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GROUNDWATER PURGE <br /> AND SAMPLE FORM / <br /> Project Name '`�J __..._ WelINo '6L1=W Date_! <br /> Project No Personnel ��1� / / fl )-V--) <br /> GAUGING DATA <br />' Water Level Measuring Method Ir;-fir fQCe P61� e Measuring Point Description <br /> WELL Total Depth Depth to Water Water Column Multiplierfor Casing Total Req'd <br />' feet Volume Pur e Volume <br /> VOLUME (feet) (feet) (feet) X Casing Diameter g <br /> (gal) y (gal} <br /> CALCULATION <br />' 0 16 0 64 144 <br /> PURGING DATA <br /> �. <br /> Purge Method _(a cUVry� � r(JLC�[ Purge Depth Purge Rate <br /> Time- ,, 10 ,,2 <br />' Volume Purges(gal) = <br /> �Temperate3ie(° <br /> �6 <br /> r �y� <br /> -Specific Conductivity(umhos)A' <br /> tr,J urbid�tyfColor � w �; 4v (f'✓�{ � F i�-� �� <br /> 7, 2 '�- _. ..s... Y <br /> "'' A\1 <br /> g Volume:s ,:.-sr�Y����:,'�xa-u�,• <br /> /O <br /> -Casins Piemo�ved. ,T. ;' <br />' <br /> r�U r V <br /> L.JF 1 <br /> Comments/Observations <br /> 1 <br />' SAMPLING DATA Time Sampled f��� <br /> P � Approx Depth to Water During Sampling 'T <br /> Comments <br />' Sample Number of Container Volume _ Shipped Under Chain <br /> Number Containers T e Filled of Custody at 40C Analysis <br /> mL ar L Turbidity Color <br /> YIN Method � Comments <br /> Yp Preservai:ve <br /> VOc(- NC1I 14v,21-L C <br /> x � <br /> Total Purge Volume Z- x Disposal/ContainmentMethod Tp C' <br /> Weather Conditions w—..- <br /> Condition of Well Box and Casing atTime of Sampling <br /> Well Head Conditions Requiring Correction(locks,damn ed casing or well box,etc) <br /> Problems Encountered During Purging and Sampling <br /> Comments <br /> PM5 PRODTE.UP FORMS PU97.Gic% <br />