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1F.A <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> Pra;Qct Name Well Numer v <br /> P:olect Numaer 0 Persanne€ <br /> GAUGWG DATA <br /> Water Leval Measurtng Method <br /> frc�ld L__ -- Measuring Point Desc:touon <br /> ` Casing Total Peq d <br /> WELL Total Depth Depth to Water �� Water Column Multiplier for Volume 110--fge Volume <br /> VOLUME (feet) (feet) 1 (feet) �1 Casing Diameter (gal) (gal) <br /> CALCULATION ION � �J � I <br /> 4 I s U <br /> i <br /> zy1 �.�� 4 <br /> ! 016l064 + 1 44 � Z• 117• Gf <br /> PURGING DATA <br /> tt -- �/ <br />' Purge Method <br /> 1L <br /> iit'J/l7 v�llG, Purge Depth Purge Rate <br /> Time <br /> Volume Purges (gal) Q I •� rC> ' ]. 1 <br /> Temperature (°C) OI izf , <br /> pH !�. Z 7• 7 I i <br /> Specific Conductivity (urnhos) I �s—Q l 910Q l 9V <br /> Turbidity I Color <br /> Odor <br /> Casing Volumes Removed ! f Z <br />' Dewatered' I f—/O I /`�G4N <br />' Comments 1 Observations <br />' SAMPLING DATA <br /> Time Sampled � Approx Depth to Water During Sampling z"2 <br />' Comments <br /> Valuing i Sh,pptd Under C a,n of <br /> sama,e Hummer or Canu,ner F+ped I Cus*a) Anatysas <br /> Nurser eanta+ners Tm* PraservauYe Turs+aiiy Co,or I Merced Cer'�ens <br /> rmtor t1 tY+�ti <br /> I I ! I I I ! ! I <br /> Total Purge Volume '� DisposaVContainment Me+hod <br /> Weather Conditions Ca <br /> Candinon of Well Sox and Casing at Time of Sampling a laic /,0 P�e v / /6 U� <br /> Well Head Conditions Requiring Correction (tacks damaged casir4 or well box etc ) <br /> Problems Encountered Dunng Purging and Sampling <br /> Comments <br /> 0+04 POW rmp PURGE 1234 <br />