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i <br /> GROUNDWATER PURGE ANDAMPL <br /> S E FORM <br /> OR1 M--�7 <br /> Project Name `�J 0 Well No vV / Date -a <br /> Project No s1�, /QUO Personnel j'1u <br /> GAUGING DATA <br /> Water Level Measuring Method Ir � crCe l 'p Measuring Point Description ��G <br /> WELL Total Depth Depth to Water Water Column Multiplierfor Casing Total Req'd <br />' — Volume Purge Volume <br /> VOLUME* (feet) a (feet) (feet) X Casing Diameter (gal) (gal) <br /> CALCULATION 2 4 6 <br />' 0 16 0 64 i 44 <br /> PURGING DATA !/ <br /> Purge Method y GyV Y(J[C�� Purge Depth 5OREC -) Purge Rate 6✓ �` 3 <br /> 9 <br /> Time <br /> q23 1726 cTZ? <br /> k,., _„mak^ <br /> 1/olume Purges(gal) <br /> .� ��-�r�u�w <br /> rTemperature(°C)�= :; 17 �Q• 3 <br /> ry� J <br /> -7 . <br /> off- { �P �r ✓14 <br /> Specific Coniiuctrwiy�(umyh�os” r <br /> � � x-71 /0�- /v 1/121 <br /> �'t rsrzW�'��= .�.fir.S�.c, <br /> Tura itylColor` UC-0 ��'✓ <br /> tug <br /> , - <br /> Casmg"1/ofumsei owe <br /> e `s} d r r+ <br /> M,.,— <br /> �TDewate'red� ; <" P-EM, <br /> � , 4D >'� Ali/ <br /> Comments/Observations <br /> SAMPLING DATA' Time Sampled 9 a�R Approx Depth to Water During Sampling <br /> Comments <br /> w 0.rJ - , <br /> Sample Number of Container 'VFdled h _ x a Sh�ppe[! Under COhaon AZ sis a a <br /> Of Custody at a C = Y x_ w <br /> Number Containers Type PreservaUve mL or L Turbidity Cafar M , Method r Comments <br /> 1/©G� �IGI SIDr"L /�C4. �� 1-771-1 <br /> Total Purge Volume Disposal/ContainmentMethod cce Ta AzIOV6, <br /> Weather Conditions 1 o U <br /> ondition of Well Box and Casing at Time of Sampling <br /> ell Head Conditions Requiring Correction(locks,damaged casing or well box,etc) - t fou—y-,.5 <br /> Problems Encountered During Purging and Sampling IJ <br /> Comments <br />' PKIS.PROJ TEMP FORMS PURGE 1096 <br /> ,r <br />