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SNGROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name r �' I _ Well No L�iJ `-t pate <br /> Project No 0 Personnel <br /> GAUGING DATA L ,, <br /> Water Level Measuring Method 1r,�1^fQCe � Measuring Point Description `7 0 G <br /> CasingTotaE Req d <br /> WELL Total Depth Depth to Water Water Column Multiplierfor Volume P o'a'R fume <br /> VOLUME (feet) (feel) — (feet) x Casing Diameter {gal) <br /> CALCULATION .� <br /> 5� L�'v �-? �� ��_ 1 6 <br /> I016 064 144 <br /> PURGING DATA <br /> Purge Method KaC l rC/.6JC Purge Depth ��/j purge Rate <br /> Time <br /> Volume Purges(gal)T ; <br /> r.s- <br /> ;ZTemperature(° <br /> ^�Specrfrc Conductivity(umbos),rn <br /> .L xz <br /> Turbidrfy/Color �, �'s <br /> W Odor <br /> !;—'CasingVolum <br /> es Removed µ l' <br /> mr� . o <br /> ��Dewatered r <br /> 9 <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled Approx Depth to Water During Sampling �T <br /> Comments <br /> - Volume Shipped Under Chain <br /> sample Number of Container V Pilled of Custody at a°C Analysis *r, <br /> Number Containers Type Preservative mL or! Turbidity Color �N Method w Comments <br /> i Von- He-,I 4/or"C oz') ,t,J I V 7 x <br /> Total Purge Volume Disposal/Containment Method _ �CF� T4 Akoq-t'-�' <br /> eather Conditions <br /> onditton of Well Box and Casing at Time of Sampling <br /> Well Head Conditions Requiring Correction(locks,damaged casing or well box,etc) (Jo _ <br /> Problems Encountered During Purging and sampling -y <br /> Comments <br /> rPM5 PROJ TEMP FORMS PVRGEto96 <br />