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Ism <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> Pro)eci Name E---knn Well No tl\\A Z <br /> Date <br /> Project No 5f!50"5-) 13 O o Personnel __R !3Q -,iQ lln <br /> GAUGING DATA <br />' Water Level Measuring Method orA-a.�g Measuring Point Description T©C <br /> Casing7ota1 Fieq d <br /> WELL TotalDepth Depth to Water Water Column Multiplierfor volume Purge Votume <br />' VOLUME (Fest) _ (feet) — (feet) X Casing Diameter (gal} _ (gal) <br /> CALCULATION Z 4 6 <br /> 51+ q5 3l � 2v.3`b ops o64 11 44 13u� T--"q 13 <br /> PURGING DATA <br /> Purge Method 1[acvur—%--D-Ljck Purge Depth 5�Qgn Purge Rate y 3 9�rY) <br />■� Time <br /> ; O 25 _ 10 ZG to 29 10 3z <br /> Volume Burges(gat) <br /> Temperature(°C)_ ' 22 S 122 2 22 1 <br /> PH <br /> R <br /> Q 1 L I G `4 114 00 10 <br /> mk,L--,Specdlcconlductfvqy(u ' ff6s)r 172y f x 55 12 A Z 13 l q <br /> Turbty/Color <br /> ice" tx+cir tom' c Q <br /> , t'��4 i ��r o��y,_R`�"✓i_c0�•rd t1 J 1--j <br /> .,CasingVolumes ge�rr�oved 'a 3 <br /> r r•r� , yiw9 fi 0 M 2 <br /> �'"�ewatered? 4T M`I" Y tJ N N N <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled __-LO SLP _ Approx Depth to Water During Sampling 33 - <br /> Comments <br /> volume Shipped Under Chain x ' <br /> Ssmpie Humber of Container of of Custody at 4°C Analysis <br /> Number Containers Typo Preservative mL or L Turoidity Color method Comments <br /> _tAtiJ v oa i-tC t +-i r5.,-L 10'-j C IQO' <br /> ffotal Pu <br /> rga Volume Disposal/Con;arnmentMt=.thod 'tr~a�- � FZ.°rnr_L _ <br /> eatherCondibons &AJr�1a 6-r <br /> endition of Well Box and Casing at'Time of Sampling <br /> Welt Head Conditions Requiring Correction(lochs,damaged Casing orwallbox etc) <br /> Problems Encountered During Purging and Sampling <br /> ents <br /> DMSCommPRa1TEMP FOEi+eS.PURGE7096 <br /> gZ/bT d b68��8�DTSi I S,qP1 H'3 )S" S'Z )nr,T-nT-nn�4 <br />