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GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name I-�x_x-y-% _ _ _ Well No _.M14 13 DateT.q-1 <br />' Project No 515 013-1 13 U o Personnel M�t�-1 &-n, d jl(j <br /> tGAUGING DATA <br /> Water Level Measuring Method +a�otc� Prv�e _ Measuring Point Description 10c— <br /> Casing <br /> O C <br /> 4fgal) (gal) <br /> al Req'd <br /> WELL Total Depth Depth to Water Water Column Multiplierfor Ve Volume <br /> VOLUME= (feet) (feet) (feet) X Castng Diameter <br /> CALCULATION 2 4 6 <br /> 55 O'. 32 15 2 �+016 064 144 <br /> PURGING DATA <br />' Purge Method Vo,Cu] ,_ �-Uc k Purge Depth Scream Purge Rate �_ <br /> c. <br /> ock <br /> I <br /> Volume Purge (gal) xt <br /> w O I T 5 L 3 <br /> Teme"rµatutre t1 q� <br /> O(n R OG <br /> Wffin C(3nducttvlty(umhos)' r� 12SIl3zz 1Z q(0 t Z1 z <br /> ,, ��� �. _ <br /> _Tu-rbidt -r'way w j <br /> . i <br /> 1 <br /> rQ <br /> - CaFQ <br /> stng Volumes Removed '• c l 2 3 <br /> Comments/Observations <br /> SAMPLING DATATlme Sampled c7Q t q <br /> p Approx Depth to Water During Sampling 3Ce <br /> Comments <br /> Volume Shopped Under Chain <br /> Sample Number of Container Filled of Custody at 40C Analysis <br /> Number Containers Type Preservative ml,or L Turbidity Color /N Method - Comments <br /> CICCY TPIA'9 <br />' <br /> 0onl Purge Volume ''4-3therConddtons C av CQisposaUContainmentMethod *`�Grl `1a ,dition of Well Box and Casing at Ime of Sampling <br /> Well Head Conditions Requiring Correction(locks,damaged casing or well box,etc) <br /> Problems Encountered During Purging and Sampling <br />' Comments <br /> PMS PROJTEMP FORMS PURG@109a <br />