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' m / <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> _ <br /> Project Name C'CxaN Well No M0.) L2 Date <br /> ProlectNo S/5 3'� �2 /3C.2O <br /> GAUGING DATA <br /> Water Level Measuring Method Measuring Point Description 7_�' <br /> I Casing Total Req`dWELL Total Depth DeathtoWater WaterColumn <br /> Multipllerfor Volume Purge Volume <br /> VOLUME (feet) (feet) (feet) Casing Diameter (gal) ( al) <br /> CALCULATION X g <br /> 2 a 6 <br /> II 10161064 11 44 <br />' PURGING DATA <br /> Purge Method V L- _c t.tM ? ccr_K _ Purge Depth -5CkC__6'V Purge Rate( <br /> Time 11 ZJr E 12 6, <br />' Volume Purges(gal) <br /> -7 <br /> ,aTempera#ure(°C}�- <br /> � _ <br /> Specrflc Conductivity(umhos)r r_ _ r� �� I 46�g <br /> 2Turtildrty/Color - _ Z-;, <br /> T- _ <br /> Odor--,,. <br /> _CasmgVolumesl=temoved <br /> 'i-Dewateredl.i,` <br /> Comments/Observations taizd Ott- 60.kc 'n T SVS &e— 0U_eu^ <br /> SAMPLINGDATA Time Sampled ��-30 <br /> p Approx Depth to Water During Sampling 1 <br /> Comments <br /> Volume Shipped Under Cham _ <br /> Sample Humber or Container Fled of Custody at a°C Analysis <br /> Number Containers Type Preservauve (mL or L) Turbidity Calor 1N) Method Comments <br /> w IVDA NCL ML. I mQ,� C g rmr <br /> f I I C I I <br /> Total Purge Volume Disposal/Containment Method T_RAI LAE 770 IQC?IA-t <br /> eatherCondition5 � <br /> onditionofWell BoxandCasing atTi eo(Sampling A <br /> Well Head Conditions Requiring Correction(locks damag d casing orwell box,etc ) <br /> Problems Encountered Durtng Purging and Sampling <br /> Comments <br /> PNS PAW TEkP FORMS pUAGE 1096 <br />