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s (G <br /> ROUNDWATER PURGE AND SAMPLE FORM Date <br /> Project Name ��Y2 2 X137 Well Number <br /> roject Number 452���,3;7 `/.��4 _ Personnel <br /> GAUGING DATA <br /> Water Level Measuring Metho ,_ o 'e 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 2 4 6 / /a <br /> j Z.4.�3 0 16 0 64 1 1 44 j(Q �I r <br /> LPURGING DATA <br /> Purge Method � -�—�/�G�IG Purge Depth..�i�/'G� Purge Rate <br /> Time �d jr CE? !QD <br />' Volume Purges (gal) <br /> Temperature (°C) 2 5' ' Zo. zG S r 2C7 S— <br /> pH <br /> Specific Conductivity(umhos) 6"10 /6, ZG 2 <br /> Turbidity/Color <br /> G lf� C <br /> T7 <br /> Odor e <br /> Casing Volumes Removed f <br /> G r <br /> d <br /> Dewatered) <br /> Comments / Observations <br /> SAMPLING DATA Time Sampled 1h2Z,-- Approx Depth to Water During Sampling 3� <br /> Comments <br /> volume Shopped Under Chain of Analysis <br /> sampie Nu"er of ContainerColor custodyMethod Comments <br /> Number Containers Type Preservative mLior Q Turbidity at a 0C N <br /> Total Purge Volume d- Disposal/Containment Method <br /> Bather Conditions <br /> Condition of Well Box and Casing at Time of Sampling G- <br /> Well Bead Conditions Requiring Correction (locks, dams ed casing or well box etc ) <br /> Problems Enc un ed During Purging and Sampling <br /> Comments <br /> PMS PROD TMP PURGE129+ <br />