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BN GROUNDWATER PURGE AND SAMPLE <br /> _ FORM <br /> Project Name C�'KaN WelINo <br /> _ - Date <br /> ProjectNo Personnel C&2l:15 <br /> GAUGING DATA <br /> Water Level Measuring Method r'/ Measuring Point Description <br /> WELL Total Depth Depth to Water Water Column ( Multiplier for Casing € Total Req'd <br />' — Volume I Purge Volume <br /> VOLUME (feet) (feet) (fest) X Casing Diameter (gal) (gal) <br /> CALCULATION — <br /> 0 16 10 64 14T <br />' PURGING DATA <br />' Purge Method vza -� l,r4_ i_�c�_KPurge Depth S Rs56F/V Purge Rate <br /> TO e <br /> --_ - <br /> Volume Purges(gal) I <br /> _ I <br /> ;_Temperature(o C)W - '-- <br /> >- �0 U a-o tP <br /> __ IT- <br /> 17 <br /> Specific Conducttvity}(umhos)-. It I . ( ,! - 1 r�D"�] • <br /> ,:-Tu rbldlty/Color �M tl `�� <br /> emove <br /> .�Castng✓VolumesRovec! <br /> v DewateredA� <br /> � -�- <br /> Comments/Observations <br /> 1 <br />' SAMPLING DATA Time Sampled `J— r <br /> Approx Depth to Water During Sampling <br /> Comments <br />' Volume Shipped Under Cham _ T <br /> Sample Number of Container Fdled of Custody at 40C Analysis <br /> Number Containers Type Preservative (mL or�y Turbidity Color Method Comments <br /> w4 1 IVDA I hCL ) rn L_ H <br /> rg IMEE <br /> I I i <br /> f I I I f <br /> Total Purge Volume Dlsposal/ContalnmentMethod MZAIl ,e T`0 &26::t.Lc— _ <br /> eatherConditions U ;/ter -' <br /> ondit:on of Well Box and Casing at Time f Sampling C)Y_- <br /> Well Head Conditions Requiring Correction(locks,damaged casing orwellbox,etc ) or- <br /> Problems Encountered Dunng Purging and Sampling <br /> Comments - -- — —__ <br /> PMS aaoaTEK-Fo"Puace,oss <br />