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GROUNDWATER PURGE AND SAMPLE FORM <br /> ProlectName C�'KaN WalfNa t,4J Date S` 20 " <br /> Pra�ectNo SSS 3� �2 �v0 Personnel CSf,�/5 <br /> 1 <br /> GAUGING DATA <br />' Water Level Measuring Metnod Measuring Point Descriotion 7-6 <br /> Casing I Total 9eq d <br /> WELL Total Depth Deoth to Water I Water Column Mulhp6erf°r Volume I Purge Volume <br />' VOLUME (feet) (fees} — (feet) X Casing Diameter <br /> ,� (gal) (gal) <br /> CALCULATION <br /> '1g /� q� ll d 76 0� 1 (0 <br /> 1 I 64 1 1 4 4 <br /> PURGING DATA <br /> Purge Method Vf-r C Lu LJ VY? r _C�rX Purge Depth SC/Z Purge Rate 5 <br /> t- <br /> Tt�,e ,v21 X02 I I <br /> t Volume Purges(ga!)- M:- - I (� ZO 3 <br /> i I <br /> =Temperature(°C} <br /> Il :�. _- - -_ _ -7 s3 34 I -7 -5s . Cob I <br /> - <br /> SpecificConductivity(umhas)= r�C� `b3.Lp LL4 d I <br /> Turtiidrty/Color," -, <br /> CastngVofumesRemovecl : ~:Lr <br /> Y Dewatered'? `r4� ' x= n / I I <br /> — - - - t== <br /> Comments/Observations <br />' SAMPLING DATA Time Sampled f D 3U_ Approx Depth to Water During Sampfing 4 <br /> Comments <br /> L Sample Number of container Volume Shipped EJnder Chain = <br /> Riled of Custody ata°C Anaryss <br /> Number Containers Type Preservative (mL or L) Turbidity Color !N) Method Comments <br /> hrnw I IVDA HCL I ML I EUL✓ CUL I l g � <br /> ! I I 1 1 I I 1 <br /> Total Purge Volume &At L-alJS DisposaVContatnment Method =Tit LEIS T7i R-o(t Lc1 <br /> atherConditions <br /> of Well Box and Casing at Ti e of Sampling O,-*nd,1,on <br /> Well Head Conditions Requiring Correction(locks,damaged casing Orwell box etc) <br /> Problems Encountered During Purging and Sampling fCJ <br /> Comments <br />' PMS PRCUTEMP FORMS PURGE to% <br />