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�(GRRyO�UNDWATER PURGE AND SAMPLE FORM <br /> Project Name —ex)00`�..�' I _ _ Well No vV Date <br /> Project No Personnel E <br /> GAUGING DATA <br /> Water Level Measuring Method �i;7 / e � Measuring Point Description <br /> WELL Total Depth Depth to Water Water Column MulUplierfor Casing �JPTotal Req'd <br /> Volume ure Volume <br /> VOLUME (feet) +,.t (feet) _ (feet) X Casing Diameter (gal) _ g(gal) <br /> CALCULATION <br /> co 0 16 0 64 1 44 <br /> PURGING DATA <br /> Purge Method _ GUV rc-kCIC Purge Depth s -EC/`-1 Purge Rate <br /> Time f <br /> ,Volume Purges(gal) <br /> F Tem erattare(°C) 64 <br /> SpectftcConifuctivity,(tim�as)' <br /> Nc) N� <br /> ^Ca'sing Volumes Removej* ''" O <br /> 77Dewatered?�,,;r"' .4. � z� IV Q 1� <br /> -_ <br /> Comments/Observations <br /> I <br /> SAMPLING DATA Time Sampled (] A 7 <br /> p pprax Depth to Water During Sampling 4 F <br /> — _ <br /> Comments <br /> Volume Shippednder Chain <br /> Sample Number of Container Felted 4Fn y at 4°C AnaiyslsNumber Containers , Type Preservau�e mL or L TurbidityN Method Comments <br /> vac, HEI 51Dr,-L <br /> F <br /> tal Purge Volume U!2? Disposal/Contamment MethodeatherCondiUons Ginondition of Well Box and Casing at Time of Samplingell Head Conditions Requiring Correction(locks,damaged casing orwell box,etc )�oblemsEncounteredDuringPurgingandSampling 1�/U omments <br />' PMS PRQI TEMP FORMS PURGE 1096 <br />