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1 <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name cyy� Well No w j Date l0—/4)—!?;7 <br /> ProlectNo Personnel <br /> GAUGING DATA <br /> Water Level Measuring Method tf Measuring Point Description <br /> Casing Total Req'd <br />' WELL Total Depth Depth to Water Water Column Multiplierfor Volume Purge Volume <br /> VOLUME (feet) _ (feet) _ (feet) x Casing Diameter (gal) _ (gal) <br /> CALCULATION — y <br /> 5�' .�O 32 .1 ��. 1� 0 16 0 64 1 44 L b <br /> PURGING DATA n� <br />' Purge Method —mu4v, Purge Depth C5CRCFL.) Purge Rate •b` r +I <br /> 11-4 <br /> o $53 SSS Ss'�Q <br /> -Tune ? °n <br /> `g lutne P ges <br /> �f- - Irat:-, N°C) , ' �', <br /> ..�^-sten�It+-•.,�"`�arF X��«"' ..,Y.1>Y�t w.wy�. �. 'j <br /> specs l6candi�c ivm►c t�l,oI=-5-7116 1 z <br /> c 1 bS3 -1 <br /> n s Y d �F r� o srr t 7 i <br /> � L ICL <br /> ` � <br /> N 0 N v N c7 N n <br /> Casing Volumes Remq cl, <br /> Comments/Observations �•�� �Lt' TV's <br /> 1 <br /> t SAMPLING DATA Time Sampled "[ 5 <br /> p Approx Depth to Water During Sampling <br /> Comments <br /> Volume >_ <br /> `S ` w Shipped Under Chain <br /> Fied AnalystsSamPle :Number_of Container <br /> Number Containers Type Preservatfve TurbiditColor of uoy Method _ + ,"Co`-mmf <br /> ewnts3`a,or y _ <br /> I1Io <br /> Purge Volume _ L 1S Dlsposal/Containment Method _ Ti�A _ i� 77��&Y=t I _ <br /> eather Conditions <br /> Condition of Well Box and Casing atTjm4 of Sampling 0 <br /> Well Head Conditions Requiring Correction(locks,damaged casing or well box,etc) <br /> Problems Encountered During Purgingand Sampling N <br />' Comments <br /> PM8 PRO}TEMP FORMS PURGE10% <br />