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DateIm 9 <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name Well Number Gv -Z' <br /> rolect Number _S/��/,�7' ���dO _ Personnel <br />' GAUGING DATA <br /> Water Level Measuring Method..Z ' Measuring Point Description <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 G 2 4 44 6 <br /> S`r✓ / 30� 7a � �� 016 064 i1 44 �z <br /> PURGING DATA <br /> Purge Method � �K ��7 ,yl�/G Purge DepthGZ Purge Rate y 3 f.- <br /> 'rime <br /> rTime ///0 /(/2 M I I/ I (' I /[ 1 <br />' Volume Purges (gal) Z <br /> Temperature ec) Z/ S� Z j Z [ Z I <br />' pH <br /> Specific Conductivity (umhos) Jr <br /> Turbidity 1 ColorIca <br /> r <br /> Odor wv <br /> Casing Volumes Removed <br /> � Z <br />' Dewatered7 L✓ �� t...__ 1� <br /> Comments ! Observations <br /> I SAMPLING DATA <br /> Time Sampled � �d.L Approx Depth to Water During Sampling <br /> Comments <br /> VOlume Shrpped Under Chain of <br /> sample Number of Contaener Filed GCiOr custody i I Analysis <br /> Numaer Containers Type Preservative rcsLor L Turbidity at 4°C(Y/Nl Method Comments <br /> lyak. I Ci <br /> Total Purge Volume Disposal/Containment Method <br /> Bather Conditions <br /> P, <br /> Condition of Well Box and Casing at Time of Sampling G <br /> Well Head Conditions Requiring Correction (locks, dama ed casing or well box etc ) <br /> Problems Enc un ed During Purging and Sampling <br /> Comments <br /> PMA PROJ TMP PURGE1294 <br />