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so; <br /> GROUNDWATER PURGE AND SA <br /> _ MPLE FORM <br />!JEProjectName C�XbN WellNv �) f { Data 6-153'7 f'2 , Personnel <br /> GAUGfNG DATA <br />' Water Level Measuring Method "/ Measuring Point Descriction -7—CK-- <br /> WELL <br /> CKWELL Total Depth I Deo_th to WaterII Water Column Multlplierfor Casing I Total R q'd <br /> Volume I Purge Volume <br />' VOLUME (fest} (feet} (feet) X Casing Diameter (gal) (gal} <br /> CALCULATION — <br /> 1 Lo <br /> 0 16 1 0 64 <br /> Z�11 � <br /> { <br />' PURGING DATA <br />' Purge Method VACL.um i�c ,f _ Purge Depth SCTZ-e76/V Purge Rate �� •5 �'1t <br /> Trine too 4` /C /00 (n 1 <br /> Volume Purges(gal) �', I I / /� L <br /> =Temperature14 <br /> �Spec:flc Conductivrty,(umhos)�_ - 1(0— I <br /> TLi Ei'drty/Color <br /> /\JeP- <br /> i <br /> .`CasmgVolumes FZemoved / <br /> *Dewatered�` - - <br /> Comments/Observations <br /> i <br /> SAMPLING DATA Time Sampled Approx Depth to Water During r <br /> Sampling <br /> Comments , <br /> i Volume Shipped Under Cham ,t <br /> Number <br /> Number of Conta,ner Filled of Custody at 40C Analysis <br /> Number Containers Type Preserrauve (mL or L1 7urb,dity Color (WN) Method Comments <br /> mw ll VOA HCl* 1 ML u g p rel <br /> 1 <br /> I i f <br /> r <br /> LoalPurgeVolume 6�t�oN Disposal/ContainmentMethod IRAI � Lc- <br /> FtherCondrtions v-\' 1 <br /> clition of Well Box and Casing at Time f Sampling tO <br /> ell Head Conditions Requinng Correction(locks damaged casing or well box,etc) <br /> roblernsEncounteredDuringPurgingandSampltng 1� <br /> Comments <br /> s Paco TEMP roa,.,s.PvRGe,o9s <br />