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GROUNDWATER PURGE AND SAMPLE FORM <br /> ProlectName ccxc'n WeliNo Q2 Date II <br /> Project No 5 l5 3 Q Personnel <br />' GAUGING DATA <br /> Water Level Measuring Method Mr-y r-'0ca P -o�De Measuring Point Description i o C <br />' Castng Total Req d <br /> WELL Total Depth Depth to Water Water Column Multiplierfor Volume Purge Volume <br /> VOLUME (feet) — (fee#) (feet) X Casing Diameter (gal) (gal) <br /> CALCULATION 2 4 fi <br /> H3 0'� 27-.3 0 20.�� arts o 64 1 44 3 32 q.�yY <br /> PURGING DATA <br /> Purge Method Vacwr%n 7nj Purge Depth Screen Purge Rate 3.3 oprn <br /> �Time- f,; ; �r OU <br /> (7- 01 IZ O$ iL o <br /> cl <br /> Volume Purges(gal) 9z 0 <br /> Temperature(°C) I4 <br /> 3 19 H l� .3 <br /> rfs5 r �Yy. <br /> f O V g q , 1 4 .(Z <br /> Spec,f�cCcnductnrtty(umhos) <br /> n fa <br /> R ;9%� ,944 N t� <br />' i'-Castng Volumes Removed G 2 <br /> t 3 <br /> _ Dewatered? N <br /> rj <br />' Comments/Observations <br />' SAMPLING DATA i <br /> Time Sampled 11 IZ � Approx Depth to Water During Sampling <br />' Comments <br /> Volume Shipped Under Cham <br /> Sample plumber of Container Filled of Custody at 40C Analysis <br /> Number Containers Type Preservative mL or L Turbidity Color /N Method Comments <br />' if. mvH-q <br /> Z va py.S HC i NCT <br /> I <br /> otal Purge Volume 10 Disposal/Containment Method 'f r r-t <br /> WeatherCondrtions _ o <br /> Condition of Well Box and Casing at Ti a of Sampling <br /> Well Head Conditions Requiring Correction(locks,damaged casing or well box,etc) <br />` ProblemsEncountered During Purging and Sampling _ <br /> Comments <br /> PM'i PR`JJ Yrzvp FORK C Pt}RCal'14, <br />