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1 <br /> EN GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name Well No Data - �J ✓�?�- $ <br /> Project No `T Personnel <br /> 1 <br /> GAUGING DATA <br /> 1 Water Level Measuring Method 1 7__fA FA(,i5 f�2� Measuring Point Description 7-0—' <br /> Gasing Total Req d <br /> WELL Total Depth Depth to Water WaterColumn Multiplier Volume Purge Volume <br /> 1 VOLUME (feet) (feat) (feel) X Casing Diameter <br /> CALCULATION (gal) —()E16 064 11441 (gal) <br /> v 15 c03 y �� 6 S q5 t) � <br /> 1 <br /> PURGING DATA <br /> 1 Purge Method fi CL' /) Purge Depth sCR'e7C—/U Purge Rate 4 <br /> Time <br /> 15_u VR v <br /> Voiume Purges(gal) <br /> uTemperature(°C} ; [ <br /> pH <br /> &c/ <br /> __Specrfic Conductivity(umhos) �'jp ce L..(')o -7 <br /> „ J <br /> Env <br /> Jur�idrty/Color <br /> Odor ^w" :�fA <br /> r'�' <br /> v <br /> "Casing Volumes Removed z,: <br /> -Dewatered? ^ J f <br />' r /v f`J <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled 3 Approx Depth to Water During Sampling <br /> Comments <br /> Volume Snipped Under Cham <br /> Sample Number of Container Filled of Custody at aoC Analysis <br /> Number Containers Type Preservative mL or Ll I Turbidity I Color Nl Method Comments <br /> V 2 IVDA HC-L- I rnL 11 Uu: Y 9 � <br /> f C I I I I I <br /> otal Purge Volume Disposat/Containmeni Method Thr C eP_ -r'-0 PUIS, L c <br /> atherConditions V <br /> ondition of Well Box and Casing atTtme of Sampling p <br /> Well Head Conditions Requiring Correction(locks dama_ggd casing orwell box etc ) <br /> Problems Encountered During Purging and Sampling <br /> Comments <br /> PWS PROJ TEMP FOFWS PURGE1C9 <br />