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ID <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name Well No Date, - ? <br /> Project Na s� L�l' / �� Personnel kn <br /> 1 <br /> GAUGING DATA <br /> Water Level Measuring Method �� l' Ce � Measuring Point Description �U G <br /> r Casing Total Req'd <br /> WELL Total Depth Depth to Water Water Column I Multipllerfor Volume purge Volume <br />' VOLUME (feet) (feet) _ (feet) X Casing Diameter (gal) _ (gai) <br /> CALCULATION I <br /> 60 C� �/ � W �� �1 2 4 6 �� 53 <br /> 0 16 fl 64 1 44 <br /> PURGING DATA <br /> Purge Method y UGyV O'� t Yea Purge Depth S��C�IU Purge Rate 111 <br /> 5 UD <br /> Time /0!� l g /e +tl� <br /> Volume Purges(gal)^ 'ubtsxr <br /> f <br /> - Temperature(°C) ;_x 1'7 <br /> war r <br /> y a <br /> Specrfic Conductivity(umhos)`� 0e� ( U'1 10-7L9 U G t <br /> = t x <br /> xV i r�,-,,— x s CSL tJ It 1�1 Vv� <br /> 1;Tu'rt?iditylColor, ,�ry�`kY <br /> Easing Voiurrrnes Removed - �a D l <br /> Dewatered ��- /\J etD <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled l��20 Approx Depth to Water During Sampling <br /> Comments <br /> Volume Shipped Under Cham <br /> Sample Number of Container1 "` Filled of Custody at a°C Analysis = <br /> Num bar Containers z "Type Preservative mL or L T��°d1� Color �N Method Comments <br /> MA, r Von_ I hill 44r,-L i v <br /> X <br /> Total Purge Volume Disposal/Containment Method <br /> Weather Conditions <br /> Condition of Well Box and Casing at Time of Sampling <br /> Well Head Conditions Requiring Correction(locks,damaged casing orwell box,etc ) N <br /> Problems Encountered During Purging and Sampling b — <br /> Comments <br /> PM5 PROJ TEMP FORMS PURGE 1456 _ <br /> 1 <br />