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a <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name KY110 K '10 ' ` Well No �Lvi/ Date 4- Is -0'v <br /> Protect No S� �l / �a Personnel <br /> GAUGING DATA <br /> Water Level Measuring Method &I� rC7 e 1"cr Measuring Point Description 7_0 G <br /> Casing Total Req'd <br /> WELL Total Depth Depth to Water Water Column jCaMs <br /> ultiplierfor Volume Purge Volume <br /> VOLUME (feet} _ {fest) {feet) X ing Diameter (ga) (gal) <br /> CALCULATION '� �� � 7 X 0 64 1 QG Z( -' 0'50 <br /> PURGING DATA <br /> Purge Method �/QGuVrr t r,._ac Purge Depth _ S�CC� Purge Rate <br /> .Time Li✓t�� ��j <br /> + Viilume Purges(gal) M <br /> 4 _ D 2, <br /> 0Tei=nperature(°C}`se - M r <br /> - A ` D �2( f] '!�i, I <br /> sSpecific Conductivity(um )rte,, I 'i ✓ [,��— ] <br /> ' hosy 1 ✓ ! <br /> �TufildityiCo . <br /> r-:-Odor,:� <br /> Casing Volumes Removed <br /> -- <br /> D'ewatered'? _4`°� <br /> Comments/Observations <br />' SAMPLING DATA Time Sampled Approx Depth to Water During Sampling E7 <br /> Comments <br /> Volume $hipped Under Chain <br /> Sample Number of Container Filled o Anal s+s <br /> Number Containers r Type Preservative Turbidity Color of Gusiody a3 4 C y 1= <br /> mL or L tI YIN Method_ Comments <br /> LA r-7;' X00- 9(!,1 4do-L SOL-) I V7 x <br /> 1 f <br /> Total Purge Volume Disposal/Containment Method Tp � <br /> atherConddions C ; <br /> nditlon of Well Box and Casing at Time of Sampling <br /> rW�ell <br /> �- <br /> Head Conditions Requiring Correction(locks damaged casing orwell box,etc } L> <br /> Problems Encountered During Purging and Sampling <br /> Comments <br /> PM5 PROD TEMP FORMS PURGEI090 <br />