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GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name CxxUN Well Nowp_ <br /> Dates DU-�t <br /> ProlectNo Personnel C ,Q15 0_E-4 I U <br /> GAUGING DATA <br />' Water Level Measuring Method /T"R�.9(� P90667 Measuring Point Description -7-0_1 <br /> WELL Total Depth I Depth to Water �� Water Column Muloplierfor Casing T atal Req d <br /> Volume I I Purge Volume <br />' VOLUME (feet) _ (feet) (feet) X Casing Diameter (gal) (gal) <br /> CALCULATION — <br /> 2 I 4 6 <br /> LJ9 0 16 0 64 44 22 3 — CJ <br /> PURGING DATA <br />' Purge Method _YF`i 0Y? tX Purge Depth sQZCe/V Purge Rate -i (. r ✓� <br />' Volume Purges(gal) Erb V I - <br /> Temperature(°C)K�� <br /> 1 pH - • " - - — - <br /> Specific ConductivityIv <br /> ,TurtidrtyxoforLow <br />' ,Odor_„, `, , = ;;��- _ - <br /> y A tf y _p !/y <br /> 'Casing VolumesRem,-ovec!a-. <br /> - - <br /> --T,: <br /> T {` <br /> .�Dewatered�-' <br /> Comments/Observations <br />' SAMPLING DATA Time Sampled Approx Depth to Water During Sampling <br /> Comments <br /> - Volume Shipped Under Cham - <br /> Sample Number qi Container Filled of Custody at 40C Analysis <br /> Number Containers Type Preservatwe mL or L) Turbidity Color Method - Comments <br /> �w7- IVDA HC(- ML, <br /> otaf Purge Volume V7 6ftLLol�S Disposal/ContainmentMethod _[?Z-4JL,0Q TD t <br /> eatherConditions U <br /> ondition of Well Box and(fasing'atTirlie of Sampling <br /> Well Head Conditions Requiring Correction(locks,damaged Easing orwell box,etc ) <br /> Problems Encountered Dunng Purging and Sampling <br /> Comments <br /> PMS PROD TEMP FORM&PUP,_-E10% <br />