Laserfiche WebLink
Date 9 <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name �4 �, Yn.Y Well Number <br /> roject Number s�� /. �7~ /_�0� Personnel <br /> GAUGING DATA <br /> Water Level Measuring Method-,� Measuring Point Description <br /> Casing Total Req d <br /> WELL Total Depth Depth to Water Water Column Multiplier for Volu+JPurgeVolume <br /> VOLUME (feet) (feet) (feet) xCasing Diameter (gaal) <br /> CALCULATION 2 1 4 1 6 <br /> S z 9/ Z Z U 0161064 11 44 1/ - � <br /> LPURGING DATA <br />' Purge Method Purge Depth /'G f/tz� Purge Rate <br /> Time Q , �7 Z Z 1 <br />' Volume Purges(gal) 4 z 41 Z S <br /> Temperature (°C) z 147 <br /> pH ,.3 I • Z �• Z I f <br /> Specific Conductivity (umhos) <br /> Turbidity/Color <br /> Odor <br />' Casing Volumes Removed <br /> o , I <br />' Dewatered? <br /> Comments / Observations <br /> 1 <br />' SAMPLING DATA <br /> Time Sampled e29ZS Approx Depth to Water During Sampling 3� r <br /> Comments <br />' Volume Snipped under Chain of <br /> AnalysisSample Number of container Flied Cow Custoay <br /> Number Containers Type Preservative riLor L1 Turbidity at a''C(YIN) Metnod Comments <br /> otal Purge Volume _ Ll2 DisposaVContamment Method <br /> eather Conditions -e <br /> Condition of Well Box and Casing at Time of Sampling e!::55'/47 <br /> WeilHead Conditions Requiring Correction (tocks, damaged casing or well box etc ) <br /> Problems Enc un r d Dunng Purging and Sampling <br /> Comments <br />' P4ta PRoJ TMP PURGE Q94 <br />