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GROUNDWATER PURGE AND SAMPLE FORM <br /> Protect Nameon Well No MW3 Date — ""'' 92 <br /> Protect No51501371300 Personnel Chns Chatburn <br /> GAUGING DATA <br /> Water Level Measuring Methodnterface Probe Measuring Point Descnptior-TOC <br /> Casing Total Req'd <br /> WELL Total Depth Depth to Water Water Column Musdpiierfor Volume Purge Volume <br /> VOLUME (feet) _ (feet) _ (feet) X Casing Diameter (gam _ (gaD <br /> CALCULA-nON <br /> 0 16 064 144 <br /> PURGING DATA <br /> Purge MethodVacuumTruck Purge Depth Screen Purge Rate ='- JGPM <br /> Time '-:�7 S <br /> Volume Purges(gal) 3 105 67 <br /> Temperature(°C) r 7 /7. J ' ! 7. 5 <br /> pHLo 1 -7. (,,' -7 7 1 q <br /> SpecificConducdvlty(umbos) •, ps 7 i1-J } 3 4 1 <br /> Turbidity/Color Gh ft <br /> c�/ <br /> Odor <br /> Casing Volumes Removed 29 <br /> Dewatered'7 1`✓ J <br /> Comments / Observations <br /> SAMPLING DATA Time Sampled q Approx Depth to Water During Sampling V Feet <br /> Comments <br /> Volume Shipped Under Crain . <br /> Sample Number of Container Filled of Custody at 4°C Analysis <br /> Number Containers Type Preservative rid.or TurWlty ColorWIN) Method Comments <br /> MW3 3 Voa HCL 40 mL I CJ C L,4 f Y MTBE <br /> Total Purge VolumerGallortS Disposal/Containment Methojraller to Romlc <br /> Mather Conditions <br /> 111111111unditon of Well Box and Casing at Time of Sampling n, .., -- - �- <br /> Well,Head Conditions Requiring Correction (locks,damaged casing or well box,etc) n.)i <br /> Problems Encountered During Purging and Sampling A.1 <br /> Comments <br /> F pw)jZcrJ%7oi3APU8uC%S"PU"rww3 PMS <br />