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1 <br /> GROUNDWATER PURGE AND SAMPLE FORM Date 08 OL-1- qS <br /> Project Name- — 12.7-:IP r2 Well Number 1 <br /> Project Number- HOD- _ Personnel <br /> GAUGING DATA <br /> Water level Measunng Method: Measunng Point Descnptton-. <)L <br /> Total Depth Depth To Water Water Column Multiplier For Casing Total Req'd <br /> WELL (feet) (feet) — (feet) v Casing Diameter — Volume Purge Volume <br /> VOLUME �.re — A (gal) (gal) <br /> CALCULATION � �0 � /,, 2 4 6 — i <br /> (L ��- 0.16 0.64 1 1 44 4 -3 I <br /> PURGING DATA <br /> Purge Method- Purge Depth Purge Rate 1?1 1^� <br /> Time <br /> 15� Ogg <br /> • ,L'- ---ti a.sr cam-- _,• .• <br /> Volume Purged(gal) <br /> Temperatures t C)- <br /> sped-frc eortducthrify (}unhosj I I �o 114C) I 30 1 1a90 <br /> rbidtty t or .v`���,����ra 10 1 ` <br /> —c;dor C Sit# <br /> Casing Volumes Removed <br /> Dewatered7 -, - :'•.�:s-__ (� <br /> - , <br /> Comments/Observations: <br /> SAMPLING DATA Tine Sampled- ! �7 <br /> P _ Approx. Depth to Water During Sampling <br /> Comments <br /> san+p�a Pl<mbw of CortaYriVdesaa Fwd aPPw Uaaer Cnan a! - <br /> Cortskma Types - PnN&*rvatkW (m!ar Q "Turw&w c l" ae 4 Mnaly d `mortis <br /> 1 <br /> tal Purge Volume QJ DisposaL/Containment Method ! r <br /> her Conditions Gtrr"n ..1 <br /> andition of Well E3ox and Casing at Time of Sampling <br /> ell Head Conditions Requiring Correction (locks damaged casing or well box etc <br /> Problems Encountered Ouring Purging and Sampling ( <br />�omments <br />