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1 <br /> �//�� Y �GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name C"xX C 4 Well No /ALU Date/Or/U <br /> Project No 1� bf Personnel <br /> 1 <br /> GAUGING DATA <br /> Water Level Measuring Method W7`0r7F"Cr L2 6,f Measuring Point Description <br /> Casing Total Req'd <br />' WELL Total Depth Depth to Water Water Column Multiplierfor Vofume Purge Volume <br /> VOLUME (feet) (feet) (feet) X Casing Diameter (gal) (gal) <br /> CALCULATION .r — <br /> •4 32.4 _ ZZ o j 6 [ <br /> 6 0641144 <br /> PURGING DATA <br /> f <br />' Purge Method VO-CUL)rO Purge Depth Purge Rate 4.10 <br /> N yz s� q33 q34 <br /> nVolume Purge '-�s(gal}' ter ' ' 4- $ Lr•03 <br />' Temperature( C)Y <br /> 'PH ter - :.�, .`- S+� S.SC.p 4s.S"� • <br /> Spectfic Conductrvrty(r rrih s) � <br /> a _ <br /> -a•7ry" <br /> Odor "x (ID t-ld D No <br /> Casing V'Ofuines RernQved#y,wI Z, 3 <br /> l .ON P n J(' r tywi'NiS�•; � y <br /> 'wDewatered� <br />' Comments/Observations 'i'%L3 -et.- <br /> SAMPLING DATA Time Sampled q <br /> p Approx Depth to Water During Sampling <br /> Comments <br /> Volume Shrpped Under Chain - <br /> Sample Number of Container Filledof Cusiody at 40C Analysis <br /> Number Containers Type Preservative mL or L Turbidity Color y 1N Method t- Comments <br /> inw2Hct -n2. CL, r 1 <br /> 1 <br /> t <br /> tal Pur e Volume Di �LIK"g S" sposaUContainmeniMethod T !l HiQ- T� 11eatherConditionsonditton of Well Box and Casing atTtrr e of Sampling C)ell Head Conditions Requiring Correction(locks,damaged casing Orwell box,etc) k.a <br /> Problems Encountered During Purging and Sampling <br /> Comments <br /> PM5 PRO]TEMP FORMS PURGE1 Q% <br />