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Be; - <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> ProlectName ckxon Well No MWy Date L <br /> Protect No 15b 131. 13 o 0 Personnel r)I <br /> GAUGING DATA <br />' Water Level Measuring Method _ /SFac¢ Pr-obQ_ Measuring Point Description d C <br /> WELL Total Depth Depth to Water Water Column Multiplierfor Casing Total Req'd <br /> VOLUME (feet) (feet) (feet) Casing Diameter Volume Purge Volume <br /> CALCULATION ' X (gal) _ (gal) <br /> 2 4 6 <br />' 59 (n0 30.-10 2'$.°IO o 16 0 64 44 Ig•H9 55.`'fq <br /> PURGING DATA <br />' Purge Method Tr'V c k Purge Depth Purge Rate _(p.2 W&% <br /> Time 10 5 I 1 O <br /> 1 t 0 41. 01 <br /> Volume <br /> Purg <br /> 3emp�erature(°C) — i C;.z <br /> r _ ��v •� <br /> PRr , � x_ `� �," • <br /> `�.(0 -1.q0 -1.92 <br /> Specific Conductivity(urn s)Y K 002 I U t 0 ((034-1 (PI4 I <br /> Turbidtty/Color-Odor �_ M 1�"� ia"`` [a�•^r I a.,+ <br /> f �y <br /> - -k �. <br /> - J i,m+ '- �"w V <br /> Casrng Volumesr Reoved <br /> Dewa#eyed? <br /> Comments/Observations <br /> f <br /> f SAMPLING DATA Time Sampled 11= 1 O <br /> p Approx Depth to Water During Sampling 3� <br /> Comments <br /> f Sample Number of Container Volume Shipped Under Chain <br /> Fisted of Custody at 40C Analysis <br /> Number Containers Type Preservative mL or L Turbidity Color INMethod Comments <br /> W'- 3 Y 1 40 r.,L 10-4 c l eor'E= <br /> �~ <br /> f � <br /> fTotal Purge Volume 5 S Disposal/Containment Method • I �— ib <br /> eatherCondittons <br /> ondition of Well Box and Casing atTfnfe of Sam ling <br /> Well Head Conditions Requiring Correction(locks,damaged casing orwell box,etc } N <br /> Problems Encountered During Purging and Sampling N <br /> Comments - <br /> fP"'SPROJTEMPFORMS.PURGE109g <br />