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Date -1 1 F (4 <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name X Well Number- MW Z <br /> 5 F5 o 131 Personnel ga. ?,k �So,-1iQ Ito <br /> Project Number <br />' GAUGING DATA <br />' Water Level Measuring Method 7K;n r n pro� Measuring Point Descrtotion JG C <br /> II Casing i Total Req d <br /> WELL Total Death I Deptn to Water i Water Column i Multiplier for Volume I Purge Volume <br /> VOLUME (feet) �1 (feet} (feet) Casing Diameter (gal) �� fa_an <br />' CALCULATION 2 4 , 6 <br /> SH.go 3H 51 11 20 3"3 I o 16 0 64 1 ,44 <br /> rPUFRGINGDATA <br /> urge Method .�fat^wnr-�Try_�� Purge Depth —d:zCr'Q� Purge Rate 143 <br /> g M <br /> 1 I � <br /> Time I�OO� 00 1oi O 101 I <br /> Volume Purges (gal) I I 1 2(P 3q <br />' Temperature (°C) 2 2l 7— 21 , O 2l 0 I <br /> pH <br /> OWL Specific Conductivity (umhos) I ` 5 3 <br /> Turbidity/Color 110Y+ e t I awCjaGr �oYJC ¢ K <br />' I <br /> Odor � N � N <br /> Casing Volumes Removed 2 3 I <br /> Dewatered, <br />' Comments : Observations <br />` SAMPLING DATA 3q <br /> Time Sampled � O 1�0 Apjarox Depth to Wates During 5ampiing <br />' Comments <br /> I j Volume I 5nippea Uneer Chain at <br /> samoie , Numner of ` Container I FlieG f Custoc, Mein s i <br /> Numoer I Containers 11 Type I Preservative rmt_or LS Tum'aiN Color I at S`'c(Y t lesnoa 1 Comments <br /> vco, I i Hc, ewd1 ow 1¢aYI- I Y I 9 <br /> �-, ,) <br /> I l I I I I I I <br /> Total Purge Volume 3q Disposal"Containment Metnod rZJr-nS <br />' Weather Conditions a pf <br /> Condition of Well Box and Casing at Time of Sampling <br /> Well Head Conditions Requiring Correction (locks damaged casing or Weil box etc 1 t"1 <br /> Proolems Encountered During Purging and Sampling N <br /> Comments <br /> bu4.'ooJ T%IP 01jprF'23+ <br />