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PURGE AND SAMPLE <br /> GROUND�VA E—�R FORM <br /> �CCIeC: y2i�1? Well s�lurno r Z1 <br /> /// / - — <br /> GAUGING DATA <br /> 1 Level Measuring Measuring Pont Desc [ct[on - - <br /> aVa =r <br /> Casing i a.al Req b <br /> Total Death Depth to water i 'Na,er Column Mulooher -or Volume �tOurge VOIL^:e <br /> 1 t1'1`'_L (feet) �1 (feetl �, (fee?) �1 casing Diameter (gaE) _ (gal) <br /> VOLUME _ <br /> C:.LCULATipN �� �,J 2 I Q I II <br /> 1 <br /> 3y 70 0" U )c 1-0 ,ol 0 44 s , 44 1 <br /> PURGING DATA <br /> 1 Purge MethodL Purge Depth Purge Rate <br /> Time <br /> 1 <br /> Volume Purges (gal) <br /> Ternoerature (°C) �� ' l Z 49" 7.Q Zev • r <br /> 1 <br /> pH �� t Al <br /> SECastng <br /> dic Conductivity (umhos) �Q�D 149-Y"7 <br /> Color <br /> 1 <br /> umes Removed <br /> 1 Dewatered <br /> 1 Cornments l Observations <br /> 1 SAMPLING DATAr <br /> Time Sampled Approx Death to Water During Sampling <br /> 1 Comments <br /> Val <br /> I I l sruccea unser C1asn of Anatyi,s <br /> samote Nutrooe of Cana+ner F.itea 1 k Color ! Custocy Met'aa Ccrnens <br /> Nurwer Canatnars Type preserratxva , lmLnr i-t 11 Tu'z,C,ry l III at <br /> Total ourge Volume •-a Dtsposal;Contatnment Method <br /> Weather Conditions b i lU <br /> Candreton of Well Box and Casing at Time of Sampling r <br /> Well Head Conditions Requiring Correction (locks danaged casing Orwell box etc ) <br />' Problems Encountered During Purging and Sampling <br /> Comments <br /> vtoA adQ)TVP ZUCtoet294 <br />