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1 <br /> GROUNDWATER PURGE AND SAMPLE FORM Date G " <br /> Project Name: X S – Well Number, <br /> Project Number , eU l] 2 Personnel <br /> GAUGING DATA <br /> Water Level Measunng Method: Measuring Point Descnption• <br /> Total Depth Depth To Water Water Column Multiplier For Casing Total Req'd <br /> WELL (feet) (fest) (feet) Casing Diameter Volume Purge Volume <br /> VOLUME <br /> CALCULATION - X _ (gal) (gal) <br /> EO J4 Ss 2 4 <br /> s I L4- <br /> 016 0.64 1.44 1 <br /> PURGING DATA y / _ /� <br /> Purge Method. V C- CJ�G Purge Depth- <br /> Purge Rate <br /> Time <br /> -V- <br /> Volume Purged(gal) •~'-':x" `� U <br /> Temperature (°C), Z�s <br /> flaSpecific Conductivity (}unhos) 3 J l SC3 <br /> rbidrty/Color �=^:. ate= <br /> 1 <br /> Odor" :a J- *•�� ";k:_.,` ..�� 'Sf} <br /> * fill <br /> iCasing Volumes Removed <br /> Dewatered? <br /> Comments/Observations: <br /> AMPLING DATA Time Sampled j 4-S _ q <br /> pprox Depth to Water During Sampling <br /> Comments <br /> saffv,w -I `` _ r-7 <br /> P R a"of Cort[ainrr` : �= y � Vo4ari.Few!NufftwC°`t'1^"r Typ. - Priwrwclw (mi a 4 Turbb:ky CalorC µreed Cote <br /> w2l 3 110A IKL. 4.O iC)u C.acrl J g <br /> tai Purge Volume Disposal/Containment Method r-L <br /> ner Conditions <br /> dition of Well Box and Casing at Time of Sampling <br /> ell dead Conditions Requiring Correction (locks damaged casing or well box, etc ) IJ <br /> Problems Encountered During Purging and Sampling <br /> tmments nJ <br />