Laserfiche WebLink
BN GROUNDWATER PURGE AND SAMPLE FORM <br /> ProlectName Cxb Wel1No Date <br /> Project No Personnel I8(/'P–ry <br /> GAUGING DATA <br /> Water Level Measuring Method �/T IIZFIQCU " Measuring Point Description -7–C-C' <br /> Casing Total Req d <br /> WELL <br /> Total Depth Depth to Water � Water Column Multiplierfor Volume Purge Volume <br />' VOLUME (feet} (feet) (feet} Casing Diameter (gal) (gal) <br /> CALCULATION .. — <br /> �-{ 0 16 10 64 11 44 <br /> PURGING DATA <br />' Purge Method ACt-c i rQc c� Purge Depth sCkse-CIV Purge Rate LA <br /> Time <br /> Volume Purges(gal) - <br /> �S f"=temperature �U• I <br /> pH <br /> -7.-7y -7 .- -T-75- <br /> Specrfic Conductivity(urnhos)�`r _ J[A CPI Lf U ) 0 �so O` <br /> _ 4 ` <br /> tTurbidity/Color <br /> Casing Volumes Rem ved <br /> to <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled �� Approx Depth to Water During Sampling l <br /> Comments <br /> Volume Shipped Under Chain - <br /> Sample Number of Container pilled of Custody at 40C Analysis X <br /> Number C❑ntamers Type Preservauve -L or Q Turbidity Color ff-/N Method Comments <br /> JVDA HCL rnL- ( t-J C[ t <br /> FTotal Purge Volume bftLLaNS DisposaVContainment Method _TRAi LE2_T"O P,-Q(i .f C- <br /> eatherConditions U <br /> Condition of Well Box and Casing at Time of Sampling <br /> Well Head Conditions Requiring Correction(locks,damag d casing orwell box etc).. <br /> - <br /> Problems Encountered Dunng Purging and Sampling <br /> Comments T <br /> PMS PRa1 TEEMP FORMS PURGE10% <br />