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GROUNDWATER PURGE AND SAMPLE FORM <br /> Protect Name IF-GKax1 Well No W Date i-II1�q-1 <br /> Project No 15 a 131. 13 o a Personnel r�l <br /> GAUGING DATA <br /> Water Level Measuring Method ff-hz/'�¢ Ano&z _ Measuring Point Description OC <br />' WELL Toia")epth Depth to Water Water Column Multip"erfor Casing Total Req'd <br /> VOLUME <br /> (feet) (feeE} (feet) CasingDiameter Volume Purge Volume <br /> CALCULATION X (gal) (gal) <br /> 2 4 6 <br />' 5i{. 2(e 3 D 1 1 24. 15 01 <br /> 16 0 64 1 44 �.`� G 31 <br /> PURGING DATA <br /> Purge Method Vel Tr— u G k Purge Depth 5Czqe::11 Purge Rate to fa <br /> p">y 1 0000 10 I OZ 1 O •0 1 D:01 <br /> Volume Purges(gal) , <br /> M r d t 5 3 1 &-1 (0 <br /> Temperature(° <br /> ,9 14.(Q 1g.5 <br /> -,1J N ry Y <br /> '-- Spt?cfflcConductivity(umhos) = 13%q <br /> z o w I tr.,•i <br /> Turbld"ibolor <br /> Odor -- <br /> _�. <br /> Casing Volumes Removed <br /> " , . <br /> Dewatered9"` '^`��t�"` = <br /> z � <br /> fV <br />' Comments/Observations <br />' SAMPLING DATA Time Sampled 1 D t[? <br /> p Approx Depth to Water During Sampling y-f <br /> Comments <br />' <br /> Sample Number of Container Volume Shipped under Cham <br /> Filled CCustody a!4oC Analysis <br /> Number Containers Type Preservative mL or L o <br /> Turbidity Color � Method Comments <br /> Ho L 10-4 TPH - <br />' C civ" <br />' otal Pur a Volu �-1 <br /> 9 me Disposal/Containment Method r 'hq t <br /> eather Conditions <br /> ondition of Well Box and Casing at Ti of Sampll g <br /> Well Head Conditions Requiring Correction(locks,damaged casing Orwell box,etc ) ti <br /> Problems Encountered During Purging and Sampling 1-J <br /> Comments <br /> PMS PRQ1 TEMP FOAMS Pt1FlGE109e <br />