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GROUNDWATER PURGE AND SAMPLE FORM Date <br /> Project Name 2--1g4-2 Well Number -"ELO I <br /> Project Number � Personnel <br /> GAUGING DATA <br /> Water Level Measuring MethodPMeasuring Point Description- <br /> Casing C _ <br /> Total Depth Depth To Water Water Column Multiplier t=ar Total Req'd <br /> WELL (feet) (feet) (feet) v Casing Diameter Volume Purge Volume <br /> VOLUME a.n /4 _ (gat) (gal) <br /> ALCULATiON / I r1 i ) Q 2 4 6 <br /> {O a( I 0 16 064 1 4.4 I�» <br /> PURGINGDATA l <br /> Purge Method: ra� �/ De Pur a tit• 'L <br /> • _ ._ g p � Purge Rate cm y�I <br /> Time <br /> Volume Purged (gala = `` 0 1 <br /> Temperature (°C,• . w ��`. �3 �a 3 a 5 a <br /> OR <br /> Specific Conducavity (junhos) <br /> -Hso 1100 1oO 1Q <br /> rbiddy f Color <br /> Odor tv <br /> .\ <br /> Casing Volumes Removed <br /> [v <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled - Approx Depth to Nater t <br /> During Sampling � U <br /> Comments — <br /> 1. "r of Canrak�i t: - + Volum Fd�4 Shppeu unser Chan of _ <br /> HurrbwCa+e.+nwr T (rt++or Tu c w •e,4*c(Y" #Areiod Coea,erwnLt <br /> W 1 I 3 �JDta HC-L 4-0 It C)-Z CQ W 3 } B t x <br /> I <br /> I I I I <br /> I <br /> tal Purge Volume Disposal/Containmeni Method <br /> fer Conditions 1N1 J <br /> dition of Well Box and Casing at Time of Sampling <br /> ellHead Conditions Requiring Correction (locks damaged casing or well box etc ) fJ <br /> Problems Encountered outing Purging and Sampting <br />�mments tJ <br />