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GROUNDWATER PURGE AND SAMPLE FORM Date C�g <br /> Protect Name- �� —22-4--2-Well Number ML ) <br /> Project Number r Personnel <br /> GAUGING DATA f <br /> Water Level Measuring Method.jn ter�Gr <br /> 'Measuring Point Description <br /> Total Depth Depth To Water Water Column Multiplier For Casing Total Req'd <br /> WELL (feet) (feet) (feet) Casing Diameter Volume Purge Volume <br /> VOLUME _ (gal) (gal) <br /> CALCULATION Q� 70 �� 39 X 2 4 6 <br /> `7 S 3� 016 fl s4 I � 4.4 3 �- � �o a <br /> PURGING DATA <br /> Purge Method �i/ Purge Depih• <br /> -. .t_,`.= �,�Y... -• T Purge Rate 2 <br /> Time <br /> Volume Purged (gal) 3S �Q <br /> Temperature {'C) 12 <br /> ITS pH <br /> `.�,YL_7 Z411-1113��.aT`- a s <br /> 90S 14, <br /> EA <br /> T T <br /> Specs C Conductivity (jnnhos) g g <br /> rbidrty/Color d <br /> ':- -= r• ; <br /> Odor <br /> -,�-=ice,.•=_, _ .,, ��,��>, ,� rJ N nJ <br /> Casing Volumes Removed <br /> Dewatered?' <br /> Comments/Observations <br /> AMPLING DATA Time Sampled oZo I <br /> P Approx Depth to Water During Sampling <br /> Comments. <br /> sn+d+ AR+aO+reL Caftalnar Hh— dad ��P�Unaer Chaur a!Type — PININ rben Tueitihdry+ <br /> f ta 40 1 o I-� c car� V <br /> tal Purge Volume 1 Disposal/Containment Method <br /> rHeeaer Conditions <br /> d <br /> ion of Well Box and Casing at Time of Sampling <br /> C6nditions Requiring Correction (locks damag;T casing or well box etc 1 <br /> Problems Encou tered During Purging and Sampling <br />�mments <br />