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' s <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> ProlectName G��b Well No ►M �/ Date �-`' <br /> ProlectNo SIS Personnel Ch!Q�S Cf�>�T�c�'RnI <br /> GAUGING DATA <br /> Water Leve[Measuring Method PR-o ;r= Measuring Point Description `—C--*r-- <br /> Casrng Total Req d <br /> WELL Total Depth Depth to Water Water Column Multiplier for Volume Purge Volume <br /> VOLUME (feet) .r (feet) _ (feet) X Casing Diameter (gal) (gal) <br /> CALCULATION — _ — <br /> 2 � 6 <br /> � 6 016 064 11 44 <br /> PURGING DATA <br /> Purge Methody 4 C"u n/—?mac ct K Purge Depth SCRC-�:=/U Purge Rate 6194 <br /> 13rl <br /> Volume Purges(gal) <br /> - , O � s4 zZ <br /> "Temperattir`e( Cj t`�` �"� - Z� _� �-1 -4 Z1 . 0- t ,3 <br /> -719 <br /> S}�ecific Conductivity(umhos)� <br /> Turbidrty/Color ;v C I c.t�ctt, C�� <br /> - — a kff <br /> Odor <br /> Casing VofumesRemovedM <br /> .p Dewatered .,.— t�. <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled Approx Depth to Water During Sampling <br /> Comments <br /> - Volume Shipped Under Chain <br /> sample Number of Cantamer FOled of Custody at .c <br /> Analysis <br /> Number Containers Type Preservative mL or t_) Turbidity Color RJ) I Method comments <br /> VV ( v0A }-IGtr. I MI- I /racy Guo,! 9 MEE <br /> Total Purge Volume '7-2- &P-L-ONS DlsposaXontammentMethod -MA,Li5 -Z-0W <br /> "DXLc- <br /> eatherConditions S V n <br /> ondition of Well Box and Casing atTime of Sampling a 4(- <br /> Well Head Conditions Requiring Correction(locks,damaged asingorwell box,etc) <br /> Problems Encountered During Purging and Sampling <br /> Comments <br /> "PRO1TEW FORM$PURGE1096 <br />