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GROUNDWATER PURGE AND SAMPLE FORM <br /> Project NameWeIINo r' <br /> Date 'A- I����/ <br /> Project No / l RC1 D Personnel z1' '-s <br /> GAUGING DATA �l <br /> Water Level Measuring Method zr�rf-Qce ) (06}O Measuring Point Description <br /> WELL Toial Depth Depth to Water Water Column Multipiierfor Casing Total Req'd <br /> — Volume —Pur e Volume <br /> VOLUME (feet} _ (feet} (feet) x Casing Diameter (gal) g(gal) <br /> CALCULATION <br /> �S 2- 7-7 2 6 <br /> Z � , � D16 064 144 <br /> PURGING DATA <br /> Purge Method Y�GV V „t '—C.'-aC Purge Depth 5c it- <br /> g p Purge Rate 7- <br /> Time _ l �0 <br /> t 'Volume Purges(gal) <br /> - ury' Uv <br /> –=Specific Conduciivrty(tsmhosY� �'�� a 9:�] q-53 L r 4.o <br /> r <br /> Turb,drtylcalor t' <br /> ;. s <br /> {- o-a Casing Volumes�t=iemay.w <br /> Dewatered .,, �._ ~M -� X r N L) 1 V <br /> e ," / v <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled Approx Depth to Water During Sampling s ET <br /> Comments <br /> Volume - - Shipped Under Chain <br /> Sample Number of Container F=iled of Custody at 4°C Analysis _ <br /> Number Containers ,Type Preservative mU or Turbidity Color YEN - Method rYCommenls -.' <br /> Total Purge Volume Disposal/Containment Method ? 'CCE& TQ RaO -h', <br /> atherConditions <br /> nditlon of Well Sox and Casing at Time of Sampling A i1cf <br /> Well head Conditions Requiring Correction(locks,damaged casing Orwell box,etc) <br /> Problems Encountered During Purging and Sampling <br /> Comments <br /> PM5 PRO.J TF-MP FORMES PURGEi096 <br />