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GROUNDWATER PURGEAND SAMPLE FORM <br /> Project Narne 5 i 5 O 31 W=-It�Nnun,,a,[;_� WL31 <br /> p- [--; Nuroera <br /> 1� <br /> GAUGING DATA <br />' Wa'-ar Levet 1Aeasu�nng Methad' ' �rCS Measunng P01rtt Oesc --Lon 1 QC <br /> Casing TwalRecId <br /> WELL <br /> Total Death l Qepth to water11 1 <br /> Water Column tml ft:plter fir Volume Purge VOL-,e <br />' VOLUMc (teat) ... (lee+) — (feet) Casing C+arnerar (gai} _ (gal? <br /> CALCULATION 1 2 I v �J <br /> PURGING DTA � 3 ti `1 L! 11 214q $ 10.1610 e�, 1 1 _= 115 9 q �1 y l 9(0 <br /> 1 <br />' Purge Method: 1Tac r+nT k Purg-3 Depth- 5C(-,z Purge Rata. <br /> TiraneOg Lf ! OB 3 OB ick I O% '12 I f <br />' Volume Purges (gal) 1 3A y� <br /> Temperature(°C) 11. g (0 1 1'R I IS <br /> pH -I .ZG I i <br /> Specific ConductrAty(umhOS) 11 O U I-L(01 <br /> T urbtdtty/Color <br /> ow <br />' Odor N i I t.l i <br /> Casing Volumes Removed � <br />' Qewatered� I +-j I rJ i 1�l I I I <br />' Comments ! Observations <br />' SAMPLING DATATunm3Cp <br /> e Sampled: OS �(o Approx. Oeot3� to Water Cunng Sanl,ng <br />' CoMI menist <br /> volumefilar St,>oeec t.h+cer t::3�n of <br /> mf"-U S <br /> Sazle tvsgste�r ts! Canauner If` `k k <br /> Neer Caru.ers Typo I ?swservaare fmLae�1 t Tu <br /> ta "1 E at sG I ! eC Czerr <br /> Total Purge Volume: OtsposaVContatnment Method_ rat Ro i <br /> rner Conditio171ea <br /> andrt0 of Weii Box and Casing t I tme of Sampling. O <br /> Well Head Candttrons Requiring Correction (lacks darnaged casing or well box. etc ) <br /> Problems E=ncountered During Purging and Sampling <br />' Comr:nents. <br /> ,*-4A;,90j-.w PtfsrG&12" <br /> �8 0820 <br />