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a <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> _ R IV <br /> Project Name C�(xbN Well No - R 1 Date r�1a h <br /> Project No S-/S �� `�2 - /30C) Personnel <br /> GAUGING DATA <br /> Water Level Measuring Method U " Measuring Point Description 7-0—' <br /> WELL Totai Depth I Depth to Water I Water Column Multiplierfor Casing T ata[�ieq'd <br /> Volume I I <br /> Purge Volume <br /> VOLUME (feet) (feet) _ (feet) X Casing Diameter <br /> (gal) (gal) <br /> CALCULATION = <br /> L cl -77 1 ., 30 -DLA y � 2 c 6 'LZ QL by e iia <br /> 016 10 64 11 44 <br /> PURGING DATA <br /> Purge Method Vi i Gc t-um /--P-Q K Purge Depth sQZF-7F/V Purge Rate -"-7-6 67R�4 <br /> Tine <br />' Volume Purges(gal)-a; L D 1 �� <br /> x <br /> -Tempe rature(°C)p ;`b =� " ' <br /> pH <br /> _ G-71 -7 ,-� 7. <br /> ecrfic ConducQ I <br /> Sptivity(umhos} "►r -7 5 ,3 LAI 5 0 47(9 ,-7 <br /> 7(. ' r- {�/ <br /> z Turbidr#ylColor ���` - '�Cy' J Y1 ��t1 L ` V( 7 <br /> - - - <br /> - dor I � 1 I <br /> O <br /> ..µCasing Volumes fgemoved <br /> �;Dewatered� ` K _ <br /> Comments/Obs a rvations <br />' SAMPLING DATA Time Sampled Approx Depth to Water During Sampling [rI <br /> Comments <br /> Volume Ship�UnderchSample Number of Container Flied of alysis <br /> Number Containers Type Preservative mL or L Turbidity coror ethod Comments <br /> IVDA I HCC- ML- ItAJ <br /> f <br /> I I I I I <br />' otal Purge Volume 6'2LJ-0 V S Disposal/Containment Method TP-At L 7-D 7ILi.L[_ <br /> 2 <br /> eather Conditions V nfA <br /> Condition of Well Box and Casing at Ti a of Sampling <br /> Wefl Head Conditions Requiring Correction(locks,dams a casing orwell box etc ) ll <br /> Problems Encountered During Purging and Sampling <br /> Comments <br /> PMS PROJ TEMP FORMS pURGrz1o% <br />