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r <br /> Gr'�OUNDWATL.R PURGE AND SAMPLE FORM <br /> Prol_c' Narne Well Nu„==r G 1 <br /> P ol�c: Numoer- 3 5 I50l3 P=_ronnef <br /> r <br /> GAUGING DATA <br />' Wver Level Nleasunrsg Me-hod Q Pr'z b< Measuring Mont Daacnotlon-I UC <br /> Casing Total Reg d <br /> W-1 Total Depth Dsp to 'later Water Column I �lulttolier.or Volume P.r Vali me <br /> (feat) (feet) _ (feet) �� Casing Diam?rar {gal) 7 ca[) <br /> VOLUME r, -- _� _ L <br /> CALCULATION �J 2 � I � � <br /> 5y 4D 13� G5 11 ,Zo 1?5 Ole 10 a, 1 , 13 35 I X10 0- <br /> PURGING DATA <br />' Purge Method fG�S lryl—Elick Purge Depth 5crg4n Purge Rate <br /> i ime pg 150 Q53 1000 5Co 1 os 5 <br />' Volur a Purges (gal) I Q 1 13 .5 X 1 '4 O I <br /> Terncerature(°C) {Y,?— I I q 7 I I r, 1 1 9.5 I I <br /> pri k Sly l <br /> Spetrrc ConducuvRy(uml,as) 1 g 16 $y 2 I 31 $1 3 I <br /> 10.,.1IQ--, <br /> Turbtdity/Color <br /> todor kv I ry I N I I I <br /> Casing Volumes Removed I U I I 2 <br />' Dewateredl I l� I N I N ! N I 1 <br />' Comments / Observations <br />' SAMPLING DATA <br /> Time Sampled. O q 02 Approx. Deoth to Water Dunng Samaling � <br /> Comments_ <br />' Volans Srsr�sxct UnCef C;3M ofSarrr.q <br /> Nt,-rer Nawnwat Cerm+nery t'Type of Prrservanre k (�e y l Turzoaty I �1°r at;G I +AeL�aC Cer.-teles <br /> MNA0 1 3 I Yacn I I-iC I I s-0 1I I0,.1 I I I QTF� I <br /> I I I i I I 1 <br /> Total Purge Volume Q _. DLspcsallCantainrnent ,L1et,'iod' r"aj d <br /> Weather Conditions. rwl V co 0 { <br /> Candition of Well Sox and Casing at Time of Sampling: K - <br /> Well Head Conditions Requinng Correc:ton (locks damaged casing or well ox etc ) N <br /> Problems Encountered During Purging and Sampling <br />' Comments. <br /> av+apo 'un"JVIGc124+ <br />