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Q <br /> 1AM GROUNDWATER PURGE AND SAMPLE FORM Date <br /> Project Name- �1�1 �S -39LL2_ Well Number <br /> Project Number- , Personnel <br /> GAUGING DATA <br /> Water Level Measuring Method: Measuring Point Descnptlon <br /> Total Depth Depth To Water Water Column Multiplier For Casing Total Rep'd <br /> WELL (feet) (feet) (feet) Casing Diameter Volume Purge Volume <br /> VOLUME _ �/ (gal) <br />;CALCULATION //47o oC� vV / 677 X 2 4 S — j <br /> atsl os4 � yaa � 7 a � <br /> PURGING DATA <br /> Purge Method �Q�. ✓� Purge Depth �� Purge Rate <br /> iimeFrl r 09`l� l <br /> Volume Purged (gal) <br /> Temj7erat_re (-C) Qo {q <br /> 4 <br /> PH <br /> Specific Conductivity (jxmhos) o [ { 1130 <br /> rbtddy/Color '9,s::.::.-'~,= <br /> Odor <br /> ,t <br /> Casing Volumes Removed [ 2WA_ <br /> 3 <br /> Dewatered?� <br /> Comments/Observations: <br /> SAMPLING DATA Time Sampled-. Ogss . Approx Depth to Water During Sampling 33 <br /> Comments* <br /> i - r srw w unaer Chain of <br /> gsn� N4 for Conrilnai Vohsrw Fdod taraody - qhs+ y; <br /> pkar ar Contafrvan Type -• Pns�rtrlw 0W or 0 Turb'&W Calor al<'C(YrrV� Arftciod Corr+r+i+rtia <br /> �W 3 006 OCL 42 ! IW C.(St ctr `tJ Qc� <br /> I I 1 <br /> 1 ! ! I ! f <br /> i I - 7— <br /> t t I ! <br /> al Purge Volume ._33 _�t Disposal/Containment Method <br /> they Conditions Q Dxry� <br /> ondition of Well Box and Casing at Time of Sampling <br /> ell Head Conditions Requiring Correction (locks damaged casing or well box etc } <br /> Problems Encountered During Purging and Sampling _ _ <br />�omments <br />