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�s <br /> GROUNDWATER PURGE AND SAMPLE FORM Date- _ <br /> Project Name- exXXOYI KS l ��)G)�2 Well Number M LA3 LL <br /> Project Number- 2 _ Personnel H F <br /> GAUGING DATA <br /> Water Level Measunng Method: Iu CL ��tJ' _ Measuring Point Description. oC <br /> Total Depth Depth To Water Water Column Multiplier For Casing Total Req'd <br /> WELT. (feet) (feet) (feet) Casing Diameter Volume Purge Volume <br /> VOLUME v (gat) (gal) <br /> CALCU0 X <br /> LATION 30 05 OQ 4 <br /> 2 4 6 <br /> 01 D64 t 44 3 o(D 1.a <br /> PURGING DATA / <br /> Purge Method: —V�r Purge DepthPurge RateM <br /> Time 0 <br /> Volume Purged (gal) :.�~ 0 3 (0 G� <br /> Temperature .(°C)•1== = -� a <br /> - a4 as G q c <br /> -: ','raw*U. Z-'rxr/_ <br /> oo <br /> Specific Conductivity (µmhos) /15() 1 1ao l ao I l o <br /> rbidtty%Calor <br /> Odor <br /> Casing Volumes Removed ' 3 <br /> Dewatered? +Y 7t• _ f ! <br /> r 4 <br /> Comments/Observations: <br /> SAMPLING DATA Time Sampled* to"S- . Approx Depth to Water During Sampling- ag r O I _ <br /> Comments- <br /> sen41� rtMnriat of Cprrakri a Vaiuma fd�d JSr11PPW timer LT%an of - - <br /> N rrtiar Gawk'* Typo -- Pta�watlw (ng or Q Turf &W Cdor C-t°� <br /> '#f t'C lYrtV) Aleirttod Goax*+res <br /> VGA �tCL 40 low Cjac r l y �.a( <br /> oral Purge Volume DisposaVContainment Method <br /> 'her Conditions- <br /> ndilion of Well Box and Casing at Time of Sampling <br /> elf Head Conditions Requiring Correction (locks damaged casing or well box etc ) <br /> Proolems Encountered During Purging and Sampling <br />�omments <br />