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GROUNDWATER PURGE AND SAMPLE FORM <br />' <br /> ProjectName _ Exxcwl Well No V'i Date t L <br /> Project No 515 3 Qrfc{Z _ Personnel a <br />' GAUGING DATA <br /> Water Level Measuring Method =rte P-0k.-iiziz Measuring Point Description _770 C <br />' Casing Total Req d <br /> Vy/1=LL Total Depth Depth to Water Water Column Multipilerfor Volume Purge Volume <br /> VOLUME (feet) w. (feet) (feet) X Casing Diameter (gal) (gal) <br />' CALCULATION 2 4 6 <br /> 1-f d.5 0 z4-1 0 2 I(� _�{g a l s o s4 i a4 76 <br /> q�I <br />' PURGING DATA <br /> Purge Method Voacwr-n �'ryCl� Purge Depth .Scrgon Purge Rate 1 92v-- <br />' Time - <br /> ' Uy 13 05 13'0 Co 13 C-1 <br /> Volume Purges(gal)' ' `" 'y` <br /> Temperature(° 70 .Z <br /> pH <br /> 05 <br /> Specific Conduum <br /> ctivity( hosk� -V._ $�7 q t p OI Q C� q 0 q <br /> wrrM4r' ��wk-Yr w�'s Y►'R71•.V� tVlVdIJI�'\ rKaf F�AI'n <br />' Turf�idrty/Calor _ _ <br /> bro..r.•t ay.1� awn <br /> _ - 5 r a n) S+r cv% 54.ro 5}r g <br /> Odr d: e, y Y "-; la <br /> o1-; G i t� H <br /> Casing Volumes Removed 3 <br /> _ D'ewatered9 <br />' Comments/Observations <br /> SAMPLING DATA <br /> Time Sampled t3' 1 0 Approx Depth to Water During Sampling ,33_ <br />' Comments <br /> Sample Number of Container Volume Shipped Under Cham Analysis <br /> Number Containers Type Preservative mL or <br /> L Turbidity Color of Custody at 4 C Method Comments <br />' V <br /> - <br /> V 4LS O1-4 1 cloy l t gre-* fi r <br /> otaI Purge Volume Disposal/Containment Method ±,M:t,tar -i o QO,--c <br /> Weather Conditions C 1 <br /> Condition of Well Box and Casing at ime of Sampling OK <br /> Well Head Conditions Requiring Corrdction(locks,damaged casing Orwell box,etc) N_ <br /> Problems Encountered Dunng Purging and Sampling <br /> Comments <br /> C'M9 PFt.OJ TEMP Fnati S PURSCI(W <br />