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a <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name x)(6 0 Well No Date __j L-� ?,T <br /> Project No s/ / BUD <br /> Personnel <br /> GAUGING DATA -- <br /> Water Level Measuring Method �� !' �_eQj e Measuring Point Description U G <br /> WELL Total Depth Depth to Water I Water Column Casing Total Req'd <br />' (feet) {feet) _ f Multiplierfor Volume Purge Volume <br /> VOLUME (feet) X CastngDiameter (gal) (gal) <br /> CALCULATION <br /> _ �S L)Qr �I G y <br />' 0 16 0 64 <br /> PURGING DATA 144 / <br /> Purge Method _ Y�cuurr _ YC�(�C Purge Depth _ <br /> 7g <br /> Time C) <br /> %Volume L 7 <br /> , erature <br /> , =Tempkl ? � 1� 3 1c <br /> 6 <br /> 7 <br /> 1� <br /> Specific Conclucttvity(uriiho's 1{/n �j 1Ii 1ry`rl1yr n <br /> 4L I • / 'l .-✓ �/ <br /> " Turbidity/, L) p „J <br /> pj <br /> �MCCasiasig V <br /> n 'olyumes�Re�mav':��cxed� �„' <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled P 910 Approx Depth to Water During Sampling <br /> Comments <br />' Sampia Number ofFc. <br /> erSh7jd -hain - w _Filled {m r rNumber C°niaEnersType Preservau�e mL or L Turbidity Color °C anaiy`s1s <br /> q Method -` Comments�- <br /> X � <br /> Total Purge Volume Disposal/Containment Method ( R Tp y4&121� <br /> Weather Conditions ° — <br /> Condition of Well Box and Casing at Time of Sampling <br /> Well Head Conditions Requiring Correction(locks,damaged casing or well box,etc) z.cA k.t t <br /> Problems Encountered During Purging and Sampling <br /> Comments <br />' PMs.PR0UTEMPF0RMSPURGE1C% <br />