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z t7a:� <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name Well Numoer MtiJ2 - <br /> roles; Numoer 150131 Personnel 13 , 1u <br /> GAUGING DATA <br /> Wa'er Leval 4leasurtng Method s,/7 a QPro-6:g Measuring Point Descnotton UC <br /> Casing Total Req d <br /> WELL Total Depth Dept; to Water Water Column Multiplier tors Volume Purge VilE�.. � y_ Vof�ri¢ <br /> VOLUME (feat) e� (feeq (feet) X Casing Diameter (gal) _ (gal) <br /> CALCULATION — 11• q <br /> Ii <br /> S <br /> 5u 9 5 236 ��r �I I S II 016106 1s I o s� 11 YT II 3�i 1� <br /> PURGING DX-�A - <br /> Purge Method &rLjQrY17 UC k Purge Depth 5CrZzql-i Purge Rate 3,15 9 ev-,N <br /> Time 10q H2 109 95 1 09 I09 52 1 <br /> Volume Purges (gal) I 1 3 5 I <br />' Temperature(°C) <br /> pH kk <br /> 5pecdic Conductivity(umbos) I 13% ! 1305 1 1-310 13 03 <br /> Turbidity I Color I dw I <br /> cl¢ i ); I <br /> Odor <br /> Casing Volumes Removed O I ( 2 I I <br />' Dewaterecr I k N I N N I <br />' Cornments / Observations <br />' SAMPLING DATA <br /> • Time Sampled _ -O q'5(Q Approx Death to Water During Samofing $ <br /> Comments' <br />' VgWrne StupRed tlnaer Clain at <br /> sa=le Nurmer of Cw=mer alys,s <br /> Nurser Carmaurs va <br /> Type i Presertive Fitted <br /> or der i Turnomry I Color at S'CCusi�t Method CCr ers <br />' 1 3 ! YoU 1140 I I -W <br /> I I 1 I I ! 1 I <br /> al Purge Volume 35 4,sposal/Containment Method rat )d' <o ' <br /> Bather Conditions StJn r <br /> Condition of Weli Sox and Casing at rime of Sam ling O <br /> Well Head Conditions Requiring Correction (locks danaged casing or well box etc} N <br /> Problems Encountered Miring Purging and Sampling <br /> Comments <br /> ;r+e.PAQJ-,%AO PUAGE1294 <br />