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Date 9 1 <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name � ,SEi� ��f37__ Well Number <br /> rolect Number 40Y�-- :7. -Fin:: Personnel <br />' GAUGING DATA <br /> Water Level Measuring Metho a Measuring Point Description T �� <br />' Casing Total Req d <br /> WELL Total Depth Depth to Water Water Column Multiplier for Volume Purge Volume <br />' VOLUME (feet) (feet) _ (feet) X Casing Diameter (gal) _ (gal) <br /> CALCULATION ~ 2 4 I 6 <br /> �d 2U `� 0 16 0 64 1 44 <br /> PURGING DATA <br /> Purge Method /-y/� fG�� Purge Depth���'�'G �� Purge Rate <br /> Time 1 �d 1 <br />' Volume Purges (gal) Z <br /> Temperature (OC) -0. .S— "Z I Z 4 <br /> pH g f k. <br /> Specific Conductivity(umhos) Z$5� Z -76) 1 Z 6 <br /> Turbidity/Calor ��VL <br /> r] <br /> Odor I <br />' Casing Volumes Removed <br /> Dewatered7 <br /> 1 <br /> Comments / Observations <br /> SAMPLING DATA Time Sampled ��G� Approx Depth to Water During Sampling 3� t <br /> t <br /> Comments I <br /> Volume Snipped under Chain of j Anarys�s <br /> ommets <br /> Sample Number of Container F{ied Color Custody I4 Meyod Cn <br /> Numbar Containers Type Preservative l mlor L1 Turbidiry at a OC iY/1' <br />' Total Purge Volume r, DisposaVContainment Method <br />?Weather Conditions -e <br /> Condition of Well Box and Casing at Time of Sampling L <br /> Well knead Conditions Requiring Correction (locks, dama ed casing or well box etc ) <br /> Problems Enc un red During Purging and Sampling <br /> Comments <br />' PmA PROD TNP PURGE129i <br />