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' � Date �l i�_ <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> 19 Project Name XXon _ Well Number M\,J1 <br /> Project Number 15115013-1 Personnel 901R1% I-Sorti¢ 110 <br />' i <br /> GAUGING DATA <br />' Water Lege! Measuring Method -1 M,qr P>r,, Measuring Point Description G C <br /> Casing Total Req <br /> WELL Total Depth Depth to Water i I Water Column I Multiplier for Volume1 Purge Volume <br /> VOLUME (feet) (feet) (feet) r� Casing Diameter (gat) 1 ( at) <br /> CALCULATION �J ��' g <br /> 2 � 4 1 6 <br /> 5�t FS 3 3 3 N 1 2 3 5 0 16 0 64 ' 1 44 ((P 7(J I 150 5y <br /> PURGING DATA C <br />' ��Purge Method � kAlcn=njci� Purge Depth .5Cr�?4l-t Purge Rate 3 <br /> r^ <br /> Time <br /> 4 0S 3 1 0"3 Ce 0%34:l O%J-iI <br /> Volume Purges (gal) j 1 1 { 33 r7 5 O 5 <br />' Temperature (°C) 2t 1 2 o g 2 0 3 -40 1 <br /> pH <br /> 5 OZ 15 30 5 1-5 q2 I <br /> Specific Conductivity (umhos) f C 126 o -41-1 C) y Z3 u I I <br /> Turbidity/Color Ih,9 baa 4 t ow V I ) o•.' D...^ I I o�G of I�' � '/ <br /> tOdor N I tN N — <br /> Casing Volumes Removed <br /> iDewatered) liV I N I rJ I 1 I <br />' Comments I Observations <br />' SAMPLING DATA <br /> Time Sampled ...-Q'04A5 Approx Depth to Water During Sampling 3 5 <br /> Comments <br /> Samoie NumCer of Container I I5hiopea unser yCrain of <br /> Containers Type Fietl Color Custom � aM�es�nygs'aS f1 <br /> CommentsNumoer fmlL1 Tumidity <br /> at fY/N1 <br /> th 1 l t o I I H� Ili I c. I 4 _9 <br /> M^t-1 i l 1 I )L y I I as i <br /> Purge Volume Disposal/Containment Method On►r-'-%3,vo,al <br /> Weather Conditions C C/" <br /> Contrition of Well Box and Casing at Time of Sampling <br /> Well Head Conditions Requiring Correction (locks damaged casing or well Dox etc ) r-1 <br />' Problems Encountered Dunng Purging and Sampling N <br /> Comments <br /> 0M4 FooJ TMP DUPGE'2.a3 <br />