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as GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name C�Xb�I Well No V1t,w2-- Date <br /> Project No Personnel <br /> GAUGING DATA <br />' Water Level Measuring Method PP,0667 Measuring Point Description 7—C <br /> Casing Total Req d <br /> WELL Total Depth Depth to Water II Water Column Multiplier Volume Purge Volume <br />' VOLUME (feet) (feet) — (feet) X Casing Diameter <br /> CALCULATION <br /> 32 �� � 5 X52 11�- 2� 2 1 4 16 <br /> 0 "16 1 0 64 11 44 <br /> PURGING DATA <br />' Purge Method VA C .,4 i712-C-ct Purge Depth SCR C--1V Purge Rate _ _t - 3 619t/f <br /> _ f <br /> Tirrte 1 i UO I I JtO-2- J ( 103 <br /> 1 <br />' Volume Purges(gal) 0 I I I <br /> "Temperature(°C) <br /> 1 <br /> I <br /> _SpecrficConductivity(umhos) <br /> `Turbidly/Color - <br /> Odor <br /> -' Casing Volumes Removed Z- µ <br /> moi♦ ..-�.- 2 <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled (2 Approx Depth to Water During Sampling �p <br /> Comments <br /> Volume Shipped Under Chain <br /> Sample Number of Container Filled of Custody at 40C Analysis <br /> Number Containers Type Preservative mL or Turbidity Color �� Method Comments <br /> IVDA I HC-L- ML- <br /> TotalPurge Volume 6Ht!_0N DtsposaUContainment Method � r L�(Z_''?i R Q(t LC— <br /> ealherConditions <br /> ondition of Well Box and Casing at Time otSampling <br /> Well Head Conditions Requiring Correction(locks,damage casing orwell box etc)- <br /> Problems <br /> tc)Problems Encountered During Purging and Sampling <br /> Comments <br /> PMS PRGU TEMP FORMS PURGE Io95 <br />