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GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Namefmon Well No MW1 Date <br /> Project No5150137 1300 Personnel Chns Chatburn <br /> GAUGING DATA <br /> Water Level Measuring Metho4nterface Probe Measuring Point DescnptlorTOC <br /> Casing Total Req'd <br /> WELL Tota!Depth Depih to Water Water Column Muitirpllerfor Volume Purge Volume <br /> VOLUME (feet) - (feet) �. (feet) X Casing Diameter (gal) (gal) <br /> CALCULATION 2 4 6 <br /> 45 <br /> '�-� 2� � 0 16 0 64 1144 / 1 <br /> PURGING DATA <br /> Purge Method Vacuum Truck Purge Depth Screen Purge Rate �' (,,GPM <br /> Time 7S <br /> Volume Purges(gal) G) '6 <br /> Temperature(a C) ( S <br /> pH 7 <br /> SpecifrcConductivity(umhos) 44 i <br /> TurbiddylColor U «� I (�r� ("'r. <br /> Odor i� /� r✓ <br /> Casing Volumes Removed (._� �� j L' i, ✓ <br /> Dewatered? N N <br /> Comments / Observations <br /> SAMPLING DATA Time Sampled `'l 1J Approx Depth to Water During Sampling :T Feet <br /> Comments <br /> Volume Shipped Under Chinn , <br /> Semple Number of Container Filled of Custody at 4°C Analysis <br /> Number Containers Type Preservative mL or L Turbidity Color Method Comments <br /> MW1 3 Voa HCL 40 mL t� , c,�.r.. Y MT E <br /> Total Purge Volume c.P Gallon Disposai/Contatnment MethodTrailerto ROmic <br /> ather Conditions <br /> dltion of Well Box and Casing at Time of Sampling C, J- <br /> Well Head Conditions Requiring Correction(locks,damaged casing or well box,etc) NL <br /> Problems Encountered During Purging and Sampling f�L <br /> Comments. <br /> F PROJECTS►7o137%pusuc%s^mPuNG%mw1 AMS <br />