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a ' <br /> GROUNDWATER PURGE <br /> AND SAMPLE FORM <br /> Project Name _.. Well No vV Date <br /> " Project No <br /> TT� Personnel <br /> LGAUGING DATA <br /> Water Level Measuring Method 11-1)7�er5D Measuring Point Description <br /> t/ti/ELL Total Depth Dept1T to Water Water Column Casing Total Req'd <br /> Multiplierfor Volume Pur eVolume <br /> ' VOLUME {feet) ! (feet) _ (feet) x CasingDlameter (gal} _ 9(gal) <br /> CALCULATION <br /> rS.oz 32 �� 22 � 0 2 ! I v Jif /v <br /> 0 16 064 1 44 7 `7 <br /> ' PURGING DATA <br /> Purge Method Y Q.GV V rn �C.0 G�[ Purgd Depth Purge Rate -7 - <br /> 'Time <br /> -'Time <br /> Wim" fp�� <br />' 'Volume Purgesx(9al) x <br /> Temperature(°C)'� f'� !' f Qom► <br /> OH <br /> "'S ecrflcConductivity(umhos 7 ! b <br /> ' <br /> 4: '"pf+gTuri��dity/Color4 ' �ut�uy./� <br /> Y)v.:til+t w ✓..-.✓. "^ti. "I t \ ulY�i r i WCL l <br /> 1..�"�- <br /> } C:dOCy w + x r I\ I l /L� > f� <br /> ZTaFTIpQ��� .���i\y�4CSC" �/ + PAY' �. <br /> l <br /> "`Casing Volumes% vecl <br /> Dewatered ~a ""fir A]4D () Llf� 0 <br /> Comments/Observations <br /> SAMPLING DATA Time 'Sampled _/U-V5 <br /> P Approx Depth to Water During Sampling �r T <br /> Comments <br /> Volume <br /> Sample Number of Contairle'r �^ r Filled Shipped Under Chain Anal sls <br /> Number Containers Type Preservative mf or Turbidlry Color of Custody at a C <br /> y/N Method Comments, _ <br /> vga- fl GI �OrrL > �.lzr� -r ry <br /> Total Purge Volume DisposaUContainment Method Ta <br /> Weather Conditions <br /> Condition of Well Box and Casing at Time of Sampling <br /> Well Head Conditions Requiring Correction(locks,dama d casing Orwell box,etc ) a <br /> Problems Encountered During Purging and Sampling <br /> Comments <br />' PMS PROUTIFMP FORMS PURGE10S6 <br />