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' SN <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name We€l No LJV 6 ` ('Y'W I Date r <br /> Project No S-/S �� `�-" /�U�� Personnel C _.`q-/5 - <br /> 1 <br /> GAUGING DATA <br />' Water Level Measuring Method f qo&U = Measuring Point Description 7-0-- <br /> Total Total Req'd <br /> WELL Total Depth Depth to Water Water Column MulUplierfor Volume I Purge Volume <br />' VOLUME (feet) (feet) _ (feet) X Casing Diameter (gal) _ (gal) <br /> CALCULATION .. <br /> LID <br /> [� GJ 2�j y fJ2 6 1 tJ fi4 1 1 44 � <br /> 1 <br /> PURGING DATA <br />' Purge Method Fi CLL<- i Rud Purge Depth SCS'';V Purge Rate <br /> Time ` <br /> Volume Purges(gal) <br /> temperature(° <6 <br /> I I <br /> moul _ Specific Conductivity(mhos) _ 3 Jr 2$' '6t5 [ <br /> x Tciri�ldrty/Color VI i o t^ V <br /> t_4.fJ� <br />' --Odor.-, <br /> 4 Casing Volumes Removov ed <br /> Dewatered? s ' <br /> I <br /> Comments/Observations <br />' SAMPLING DATA Time Sampled Approx Depth to Water During Sampling <br /> Comments <br />' Volume Shipped Under Cham <br /> SampEe Number of Conlajner t=illed of Custody a1 40C Analysis <br /> Number Ceniamers Type Preservative mL or L TurtHdity Color fy Method Gonmenis <br /> UVB-tnwll IVDA hCL I tT1L r3t� 9 f el <br /> I I <br /> I I <br />' Total Purge Volume Dlsposal/ContainmentMethod 7?ZA1LE 7.7 Lc, <br /> eatherConditions <br /> Condition of Well Box and Casing at Time of Sampling <br /> Well Head Conditions Requiring Correction(locks,damaged casing orwell box,etc) &L _ - <br /> Problems Encountered During Purging and Sampling I j <br /> Comments <br /> PN5 PRO.)TE+AP FORMS PURGE1096 <br />