Laserfiche WebLink
' GROUNDWATER PURGE AND SAMPLE FORM <br /> ProlectName x�r� WellNo M\A(,o Date 1Zl <br />' Protect No 515 i3� 13 U o Personnel I ,h►, L�.f li �'�O <br />' GAUGING DATA <br /> Water Level Measuring MethodT�-or�ac4 P���e Measuring Point Description )OC— <br /> Casing <br /> 1 OCCasing Total Req'd <br /> WELL Total Depth Depth to Water Column Multiplierfor Volume Purge Vo <br /> ater Water lume <br /> VOLUME (feet) _ (feet) _ (feet) X Casing Diameter (gal) (gal) <br /> CALCULATION — 2 4 6 <br /> SLA' g0 3u 3� zU Sy 016 064 144 13 1 5 39 y 4 <br /> PURGING DATA <br /> Purge Method _VaCIUM —+n. 1c k Purge Depth _SC'�e� Purge Rate <br /> o1� 37- Og 3t( 48 3Co 05 3% <br /> Volume PuY9es 13 2 co 39 5 <br /> Temperature(°C)w <br /> �5pectftc Conductivity(umhas�, h� 13 Z -110 L] <br /> 05 <br /> § r - . r✓ '.. <br /> r"Turbidity/Color`` T, if (�� to.r+ to.• <br /> . r <br /> Odor_ <br /> -�Castn,(J'}Vol umes R emoved <br /> y"Dewatered <br />' Comments/Observations <br /> SAMPLING DATA Time Sampled Ob `t ( Approx Depth to Water During Sampling 35 <br /> Comments <br />' Volume Shipped Under Chain <br /> Sample Number of Container pilled - of Custody at 40C Analysts <br /> Number Containers Type Preserrrduve mL or L Turtsidity, Color -Method Comments <br /> TPH'9 <br /> 3 k4z 1 40 i I u... C 1¢ar M-13 e <br /> Aft1 <br /> al Purge Volume 3a S Disposal/ContainrnentMethod 10 <br /> atherConditions C lova 01 <br />' Condition of Well Boxand Casing atTime of ampling c3K <br /> Weil Head Conditions Requiring Correction(locks,damaged casing Orwell box,etc) <br /> Problems Encountered During Purging and Sampling hj <br />' Comments <br /> PMS PRQI7EMP FORMS PURGE 1096 <br />