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d -• S <br /> 1A% GROUNDWATER PURGE AND SAMPLE FORM Date- <br /> Project Name 2--2L?-Well Number• N Q R <br /> Prolect Number �vl _ Personnel- <br /> AUGING DATA ii <br /> Water Level Measuring Method: Measunng Point Description- <br /> 'FL <br /> escription• 1 O� <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 /> ALCL]LATION X � a <br /> 3U 40 23 -7 (� �3 s <br /> J7 0.,s o sa � as 4_ 2 <br /> URGING DATA <br /> Purge Met ad_ <br /> OJ Purge Depth- 2Purge Rate. �lJ m <br /> 'rime �� w : 1( 3,3�- 1 I <br /> Volume Purged 14 •S ! 3 <br /> Temperature <br /> Specific Canductfvtty (µmhos) QCT <br /> M <br /> rbtdrty/Color <br /> Odor :,�-_, -`t~R ,>, !-4 r4 (J /`1 <br /> Casing Volumes Removed j 3 <br /> Dewatered?, R N <br /> Pi <br /> Cam ments/Observations <br /> SAMPLING DATA Time Sampled «� <br /> p __ . Approx Depth to Water During Sampling- <br /> Comments <br /> i r S_I Unci r Chuen at <br /> S.P. p4m1 br of Cors{aYot 4:--:' + Vok�mr Fd od - , <br /> dy <br /> tWrrbr Caxdnw� Type-, Prswrvarlw rCtd�ty tAr f:'C(Y dwd . ' <br /> .� <br /> (ml a!} h �t 4'C iY1iV) tA.e+ad Conrrwre;a <br /> LI)� 3 V 0A 4 C�-� <br /> I Purge Volume DisposaVContainment Method. <br /> er Conditions C\ <br /> ndition of Well Box and Casing at Time of Sampling <br /> ell Head Conditions Requiring Correction (locks damaged Casing or well box, etc ) !y <br /> Problems Encountered During Purging and Sampling Ir"I _ <br />�mments <br />