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a <br /> f <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> rolect Name e�Kol,/ WellNo ��Aw 13.. Dated <br /> rolect No S/S a� `""� / �C�t'] c <br /> Personnel <br /> GAUGING DATA <br /> WaterLevelMeasuring Method Measuring Point Description 7-0—' <br /> WELL Total Depth Depth to Water Water Column Multiplier for Casing Total 4eq'd <br /> VOLUME (feet} (feet} (feet) X Casing Diameter Volume Purge Volume <br /> CALCULATION <br /> — (9a9 (gal} <br /> 2---7 2 C 4 6 « ' 2 52 2 <br /> �{ 1 0 16 10 64 11 44 <br /> PURGING DATA <br /> Purge Method _Vf-fCC-t.t. m Purge Depth sL'iQ-CC-/V Purge Rate <br /> Time _ W `• _ /� �`� 2( I?Z`T 1 <br /> Volume Purges(gal) I _.]� 5 <br /> µ I s <br /> "Temperature(° <br /> pH <br /> pecific Conductfvlty(umhos) _ 5 LQ I r1 �1 I I ji <br /> urbid�ty/Color _ 1 <br /> -=Casing Volumes Removed rr <br /> r Dewatered? <br /> i <br /> Comments/Observations <br /> 1 <br /> } <br />'SAMPLING DATA Time Sampled (330— Approx Depth to Water During Sampling ` <br /> Comments <br /> =F,I'I.e <br /> Shipped Under Cham t <br /> S. r)'. <br /> Number of Contarner of Custody at a°C Analysis <br /> LN. Containers Type Preservative Turbidity Color ��N1 Method Comments E <br /> rnn w+3 �VDA hCL ML_ <br /> I <br /> Purge Volume +Stat-L-VNC' Disposal/ContainmentMethod T AIC,e T D LC- t <br /> erCondttions t <br /> ition of Well Box and Casing at Time of Sampling <br /> ell Head Conditions Requiring Correction(locks,damag d casing orwell box,etc) <br /> oblems Encountered During Purging and Sampling <br />;omments <br /> x <br />�S PRDSTEMPFORMS PURGE1096 <br />