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1� <br /> GROU—NDWr�ATER PURGE AND SAMPLE FORM Date- 08 x--445 <br /> Project Name -- Well Number. T <br /> Project Number "1 Qom~ Personnel F <br /> GAUGING DATA <br /> Water Level Measuring Method, Measuring Point Description- <br /> Total Depth Depth To Water Water Column Multiplier For Casing Total Req'd <br /> WELL (feet) (feet) (feet) Castng piameter Volume Purge Volume <br /> VOLUME <br /> ALCULATION I h _ (gal) (gal) <br /> , 43r� [ 2 4 � <br /> , 0 4 'T�` g �� 1 0-16 1 0 64 1 1.44 O."1 7 9 a <br /> PURGING DATA <br /> Purge Method Purge Depth- <br /> r } Purge Rate. <br /> Time4t l.�Oiip�� � 'w.��.. •T I 1 <br /> Volume Purged(gall (a �y <br /> Temperature (°C) �M Os-4- 0�s. <br /> •VI L { K tN <br /> Specific Conductivity (g"os) 14 W00 Obn 10 <br /> SO <br /> rtirdrty%Color <br /> Odor : . ':; s_f <br /> 4 <br /> Casing Volumes Removed ~:= <br /> Dewatered?_ <br /> Comments/Observations: <br /> AMPLING DATA Time Sampled* 1 0 <br /> P . Approx Depth to Water During Sampling ac) <br /> Comments. <br /> �++ srwr or Gorrair,i _ <br /> unti <br /> si*vp•e e.Chan o <br /> Vairrr�fled ! <br /> - •a <br /> NUM15W Corn'h"'s Type _` PnadwVWtivt (ml or n Turas" color <br /> at 4'C rrfm AMmod Gorrreena <br /> GC <br /> V 0� ��C L L.I-d t o S <br /> I I <br /> I <br /> tal Purge Volume ptsposal/Containment Method <br /> Fondier Conditions Gtr <br /> lell <br /> ion of Well Box and Casing at tTime of Sampling <br /> ead Conditions Requiring Correction (locks damaged casing or well box etc I <br /> Problems Encountered During Purging and Sampling <br /> FrnmentS <br />