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6GROUNDWATER PURGE AND SAMPLE FORM <br />' Project Name Ccxorl Well No V2 Date 11 <br /> Project No _ 515 3 RQ_Z Personnel —!� C x 1 a�4 0 <br />' GAUGING DATA <br /> Water Level Measuring Method =r16'f-Gc P-0Measuring Point Description 0 C <br /> Casing Total Req'd <br /> WELL Total Dept"toWater ater Column Multiplierfor VolumePurgeVolume <br /> VOLUME (feet) (feet) X Casing DiameterCALCULATION (ga[) (gal) <br /> 2 4 6 <br /> HO ZO5 �`1 0 16 0 fi4 144 <br /> PURGING DATA <br /> Purge MethodyaCwrn rycR Purge Depth 5ct-ezo Purge Rate 5 a ar+n_ <br /> 13 31 13 2 13 3 3 13311 <br /> Volume Purges 5 <br /> Temperature(,P)PH <br /> Iz 0 <br /> SRO <br /> YSpec,fic Conductivity(umhos) ' <br /> y, - v Vo Cl q15 9x(9 G33 <br />' ,tTurbidrtylColor <br /> Odor, HC <br /> =Casing Volumes Removed .�.:x ` <br /> Dewatered? <br /> Comments/Observations <br /> SAMPLING DATA 13 3 1 <br /> Time Sampled Approx Depth to Water During Sampling 2 <br />' Comments <br /> Volume Shipped Under Chain <br /> Sample Number of Container Filled of Custody at a°C Y Analysis <br /> Number Containers Type I Preservative mL or L Turbidity Color 1N Method Comments <br /> -75 vc 9,5 HC I 41a,..1 J ,% <br /> Total Purge Volume 1 5 DisposaVContainment Method 4' r�i <br /> Weather Conditions IOU] VP _ <br /> Condition of Well Box and Casing atTime of Sampling . OK <br /> Well Head Conditions Requiring Correction(locks,damaged casing orwell box,etc) <br /> Problems Encountered During Purging and Sampling <br /> Comments <br /> pM5 PROJ TEVO F()tM9 PI flrtC C I r <br />