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M GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name _ E)-<nn Well No 3 Date 21z I9,--1 <br /> Project No .5(T;0131 13 p Q Personnel R <br /> GAUGING DATA <br /> Water Level Measuring Method 7r—ix--F'rir Gf-a tom- ,7 _r Measuring Paint description —FO-Q <br /> WELL Total Depth Depth to Water Water Column Multlplierfor Casing Tota!Req d <br /> Volume Pur a Volume <br /> VOLUME {feet) no (fleet) (feet) X Casing Diameter (gal) g(gal) <br /> CALCULATION <br /> 2 4 6 <br />' SS, oz <br /> 0 16 0 64 144 I S 3 4S 9 g <br /> PURGING DATA <br />' Purge Method 01-Vur-n Tr- Purge Depths .55,r-!r4&n Purge Rate 5' 1 Q;lfy-, <br /> Tithe <br /> 1.1 Z CA 41; og 5 1 <br /> S ` <br /> Volume Purges{gal) � `��=� YI <br /> Temperature(o Ci;A -� {=r' <br />' - > z-+ - 2z q 22 Cfl z2 3 <br /> PH <br /> q D <br /> S}aectfcConductl+rrty(clrnh�os), 13�Co 1 531 1 E(y9 15CD3 <br /> ;^Y - �=�;p,u ow °"' ow te✓ <br /> TurbidirylColor ', a <br /> ���,�-�;�,x�-�, <br /> Odor_ r`�- <br /> Casin <br /> ,'.g'YolumesRernoyedi, 0 <br />' 4+Dewatered? ^' w'yl:�ti ;;d y' "rte r1 N N h1 <br /> Comments/Observations <br />' SAMPLING DATA Time Sampled 001 <br /> P Approx Depth to Water During Sampling 33- <br /> Comments <br /> Volume Shipped under Chain <br /> Sample Number of Container Filled fl!CustAGy az a°C Analysis <br /> Number Containers Type Presen+ative Filled <br /> or L Turbldity Color M Method Comments <br /> ti o,..L 10'-4 G It%- <br /> FCo <br /> al Purge Volume 'jt0 Disposal/Containment MethodatherConditionsndition of Well Box and Casing atTl aof Samplingll Head Conditions Requiring Correction(locks,damaged casing orwell box etc ) nl <br /> Problems Encountered During Purging and Sampling <br /> Comments - <br /> PMS PRO,!TEMP FORS PumEsoge <br /> 9E/ET d bs8£S-'RFPT'-,T {qqm Hq qC' (: T )rr-T-TAT—nrIH <br />