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' GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name f�--xxg,- Well No _ MW 2 Date [b <br />' Project No 1515 013-1 13 U d Personnel J r , S-)n. Al 0 <br /> GAUGING DATA <br /> Water Level Measuring Method T---2a aM Probe Measuring Point Description 10 C <br />' Casing Total Req'd <br /> WELL Total Depth Depth to Water Water Column Multfplierfor Volume Purge Volume <br /> VOLUME (feet) (feet) (feet) X Casing Diameter (9 )al <br /> � (gal) <br /> CALCULATION 2 4 6 <br /> 5ti q 5 3 3 l al 2 I 1 Co 0 16 0 64 1 44 { 3 9 3 1 <br /> PURGING DATA <br /> Purge Method V0,C[:11M +- Qc k _ Purge Depth SC fy Purge Rate1 4ej,r, _ <br /> �irne`�� ' Y _ p8 5ZDs E519 <br /> w Volume Purges(gai)� "-r I <br /> !f t•W Y r t Jd 1R <br /> Temperature C)r � ,-=Y , <br /> SpecrfiC Conductivity(r_tmhos) �v� <br /> , nv � 2�U ly DZ (356 1351 <br /> N <br /> ''r`ft„�N+ <br /> Casing Volumes Removed , 3 <br />' -Dewatered <br /> 7- w ytrh waw 1v N y- J <br />' Comments/Observations <br />' SAMPLING DATA Time Sampled O ck 02 Approx Depth to Water During Sampling 3� <br /> Comments <br /> Vofuma Shipped Linder Chain <br /> Sample Number of Container Filled of Custody at 4"C Analysis <br /> Number Containers Type Preservative mL or L) Turbidity Color /N Method comments <br /> _ryw z q o r,l <br /> 0ond <br /> iPurgeVolume ��. Disposal/Containment Method t�Gr!¢� 'fa R,-,r, pr- <br /> therCondlhons avd IitlonofWellBoxandCastngat imeofSampling <br /> Well Head Conditions Requiring Correction(locks,damaged casing orwell box,etc) <br /> Problems Encountered During Purging and Sampling nJ <br />' Comments <br /> PM5 PROD TEMP ROAMS PUHGE1096 <br />