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GROUNDWATER PURGE AND SAMPLE FORMDa:=- I o[r[019(u <br /> Project Name - nn Well Nurnger- MW5 <br /> Project Numner- 5 l50131 Personnel 12. 13an1ju <br /> GAUGING DATA <br />' Water Level Measuring Method e IDr'o5-e Measuring Point Descriottor —1 <br /> Casing Total Recd d <br /> WELL Total Depth Depth to Water Water Column I ,Multiplier tar Volume 11PUf9-3V01LM. e <br />' VOLUME (fie t} (feet} _ (feet)t} —OX Casing ptarteter (gal) �1 (gal) <br /> CALCULATION t2 4 �J <br /> I n <br /> (� (] 01 3 5 5 5 I l �N.5 21 0161004 144 15 (�q 1-1-1 o $ <br />' PURGING DXTA <br /> a <br />' Purge Method. lTPurge Depth Purge Rate 3 <br /> Time <br /> la 3 lio 21 I I D 31 110 3-15 <br />' Volume Purges (gal) <br />' Temperature (°C) I 0 0 I 20 -1 I A o H <br /> pH IG o� � I $ ! So I $ to <br /> Specific Conducuvrty(umbos) 11 H 91 I '!!55 I I I H°15- I I H S z I <br /> Turbidity/Color 0, o G1 <br />' Odor I I I N I ry i I <br /> Casing Volumes Removed I O I 1 I 2 I 3 I I I <br />' Dewatered? r j I �/ I I rj I <br />' Comments / Observations <br />' SAMPLING DATA <br /> • Time Sampled 10 300 Approx. Depth to Water During Sampling 31 <br /> Comments <br /> 5amote Number of Conotawr volume i 5tuooea Uncer C:,ain of <br /> Numter Con=AMrs Type Preservative fmLo Li Tur�auy Carar E Cusroey t a+otl I Carmen= <br /> II !k 1 III at 44C(Yrn �f 1 <br />' MW I 3 I Y o cr• I !-i C 1 ! �Iv I ow I C EQD✓ q ��d7 i I <br /> I I I i i I <br /> tal Purge Volume Disposal/Containment Method rpt L�- Qo <br /> ImMeather Conditions r <br /> Condition of Well Box and Casing t tme of Sam ling <br /> Well Head Conditions Requiring Correction (locks damaged casing or well box etc ) <br /> Problems Encountered Dunng Purging and Sampling <br />' Comments <br /> au.oaoJ TAAv PVFtG$f24+ <br />