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GROUNDWATER P Date p <br /> URGE AND SAMPLE FORM <br /> 9/4 <br /> Project Name S �.rL Well Number �� <br /> Protect Number _ k:5 �.3 �l �{ Z l 3 Q'�ersonnel <br /> GAUGING DATA <br /> Water Level Measuring Method Measuring Point Description iliIII G <br /> Total Depth Depth To Water I Water ColumnMultiplier For <br /> Casing Total Req'd <br /> WELL (feet) (feet) (feet) Casing Diameter Volume Purge Volume <br /> VOLUME .r V (gal) (gal) <br /> CALCULATION �/�J 2 i 4 i � 1 � <br /> X12. f I <br /> 0 1 6 064 1 44 <br /> PURGING DATA <br /> Purge Method <br /> Purge Depth k Purge Rate <br /> Time <br /> Volume Purged (gal) 1 <br /> Temperature (°C) � 72,C <br /> pH <br /> Specific Conductivity (Vmhos) g�`(> • <br /> Turbidity I Color <br /> c <br /> n7- <br /> Casing Volumes Removed f <br /> Dewatered7 J AIL— <br /> Comments/Observattons <br /> SAMPLING DATA Time Sampled <br /> r <br /> Approx Depth to Water During Sampling —.7j_r <br /> Comments <br /> Su*�Pb Nurtibar o[ Coritau�rr Vor<Yns f�9aq —Fat <br /> t�cppea Under Cha n o! ' <br /> Nurr�er Gorrair+ere Type PreFerYerlye (IN 4r Il Tu+bidty Calor elC � AnalysisadCorrYr+args <br /> 4P <br /> Total Purge volume Qisposallcontamrrent f.se—oc <br /> Weather Conditions <br /> neit o-, of Nett Eox an-- Casing at Time of Sarr:ving © 4 <br />` I Head Conant ons Recu ring Correc•on flocxs darraced casing or well box etc <br /> P•ooler-s E^CC �n exec Our�ng P rg,ng ano Sar^ct ng <br /> Ccr—e^ s <br />