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1� GROUNDWATER PURGE AND SAMPLE FORM Date -1ILo (0 <br /> 6 Project Name Well Number W ++++ <br /> Project Number 5 15 O c 3� w _. Personnel a � 1�Or-tt¢ !lo <br /> 1 <br /> GAUGING DATA <br /> 1 Water Level Measuring Method Pro Measuring Point Descnation 10 C <br /> Casing Total Req d <br /> WE <br /> �Lr Tota[ Depth l]epth to Water Water Column Multiplier for Volume Purge Volume <br />' I VOLUME (feet) �� (feet) (feet) �1 Casing Diameter (gall �1 (gal) <br /> I CALCULATION z 1 4 � 6 I �J <br /> 5q-(�� 35 35 jl 24 25 0 1610 64 1 44 15 SZ lk j 5(e <br /> PURGING DATA <br /> 1 Purge Method Nhacwrn-7ry)c*k Purge Depth �d:K�—Qqn Purge Rate 15.% w1 <br /> i <br /> Time 1 pq 45 01 " O°l 5 0 CA5 <br /> 1 Volume Purges (gal) 31v I a(p $ <br /> l I i5 <br /> 1 Temperature (OC) l v <br /> pH -1 q2 -5(o 1-1 (, 1 I <br /> Specific Conductivity (umhos) 151�0 I I q I I15,B 2 I <br /> Turbidity/Color I lo,,+ lows(Q i '- <br /> 1NIN <br /> Odor <br /> Casing Volumes Removed G I I 3 <br /> II N N <br /> Dewatered'7 j <br /> 1 Comments Observations <br /> 1 SAMPLING DATA 3� <br /> Time Sampled _O� 5-Co _ __ Approx Depth to WaEe• During Sampling <br /> 1 Comments ' <br /> volume Snrovep unser Cham 01 i <br /> Sama[e Numner of Container F+uea Custoov anarvsis I <br /> Numaer Containers Type Preservauve tmi or L1 TurD[CiN Color 1 at a'C rY rvi Mein= I Comments <br /> y a Q, I I ,�� o I I r 1 -9 <br /> Total Purge Volume Disposaf,'Contalnment Method _dr�/r•r►S _ <br /> Weather Conditions <br /> Condition of Well Box and Casing at Time of Sampling <br /> Welt Head Conditions Requiring Correction (locks damaged casing or well box etc ) rJ <br /> orculems Encountered During Purging and Sampling N <br /> Comments <br /> OVA=00J-VP el1PIC C 1911 <br />