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1 <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> ProlectName C�Xd Weil No fn W Date r "� <br />' ProlectNa S/S 3� �'� • / �y0 Personnel Gf-fiQ( _ OL-' � <br />' GAUGING DATA <br /> Water Level Measuring Method _k/DfR,LF <� �RO r= MeasunngPantDescrsptlon !C <br />' C <br /> WELL Total Depth I Deoth to Water I Water Column I Multiplierfor VolasiUrnReq'd <br /> nge PuTotal rgeVoiume <br /> VOLUME (feet) (feet) (feet) Casing Diameter (gal) (gal) <br /> CALCULA�'ION �. — <br /> `3d O Q r 2 4 1 6 <br />' i 0 16 10 64 11 44 <br /> PURGING DATA <br /> Purge Method _�/Fi CL"-.0 V--Y-)- Purge Depth SC-R-C-6W Purge Rate <br /> 4 � <br /> Volume Pu <br /> rges(gal) <br /> Temperature t°C) '� = 2& <br /> pH <br /> F Specific Conductivity(urrshos)� 79- <br /> �` ,... '-�'-•"`,ryW <br /> Turbidity/Color.- »T � •�- I ! <br /> -Oder /V <br /> i.. <br /> Casrig Va[umesRmoved, <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled Approx Depth to Water During Sampling <br /> Comments <br /> Voluma Shipped Under Cham <br /> Sample Number of Container F lied of Custody at a°C Analysis <br /> Number Containers Type Preservative Filled <br /> a �} Turbidity Color ny Method Comments <br /> w IVDA hC.L <br /> WII mL Traces I C�:�Y `9 `� <br /> 1 I I I I # I <br /> o - <br /> talPurgeVolume &'- L -DNS !E DlsposaVContalnmentMethod TAAiLT- X«— <br /> eatherConditions <br /> Condition of Well Box and Casing at Time of Sampling <br /> W eft Head Conditions Requiring Correction(locks,damaged casing orwell box,etc)bl <br /> Problems Encountered During Purging and Sampling <br /> Comments <br /> PrLS PPAUTEMP FORMS PURGeim <br />