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GROUNDWATER PURGE AND SAMPLE FORM <br /> ProlectName _ GXKCw-1 Well No —1 Date Lit I Iq <br />' Project No Jt 150 l31. 1 3 o p Personnel <br /> GAUGING DATA <br />' Water Level Measuring Method � xr Prob 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— Volume Purge Volume <br /> Diameter (gal) (gal) <br /> CALCULATION — x <br /> 2 1 4 1 6 <br /> 59 2 Z4.�Z 2 44 o 0 16 0 64 11 44 1 <br /> PURGING DATA <br />' Purge Method Vo VUrn Ti-V C k Purge Depth 5C!"QQi-) Purge Hate O.+4 <br /> Time Y <br /> Volume Purges(gal) 17 <br /> Z41 >I 0- rn 10% 30 <br />' "Temperature(OC) R. <br /> i <br /> pH <br /> Specific <br /> r - Conductiviy-(- <br /> amµho-s ' laI V l5( <br /> Turbidity/Color <br /> Odor ll u3w r( <br /> pt <br /> 9 <br /> Casing Volumes Removed=` ' G Z 3 <br /> Dewatered'? <br /> Comments/Observations <br /> 1 <br />' SAMPLING DATA Time Sampled ' 3 H <br /> p Approx Depth to Water During Sampling 3 <br /> Comments <br />' VoluShipped Under Cham <br /> Filled me <br /> Sample Number of Container of Custody at 41C Analysis <br /> Number Containers Type Preservative Fi le 11— Turbidity Color M Method Comments <br /> MW 3 Y H 1 HO M L qC6. <br /> 1 <br /> Total Purge Volume 51• S Disposal/Containment Method i- +ty ti <br /> eatherConditions M1 <br /> ondition of Well Box and Casing atTim4 if Samplin oK <br /> Well Head Conditions Requiring Correction(locks,damaged casing orwell box,etc ) <br /> Problems Encountered During purging and Sampling <br /> Comments <br />' PO4 PROJ.Tr=—FO"PURGE1096 <br />