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ao <br />' GROUNDWATER PURGE AND SAMPLE FORM <br /> Protect Name G�Xd Weil No W 9 Date ?--2.6-97 <br />' ProlectNo SI5 3q `--� • / 962<] Personnel C .9-15 0-H4;8 C-"fQ PV <br /> GAUGING DATA -,- <br /> Water Level MeasurngMethod �^1Tv F�F•4�s l goir_ Measuring Point Description <br /> Casing Total Req'd <br /> WELL Total Depth Depth to Water Water Column Multipiierfor Volume Purge Valume <br /> VOLUME (feet) (feet) (feet) X Casing Diameter (gal} (gal) <br /> CALCULATIONAy 1 <br /> Its � 1I6 <br /> 016064 11 44 <br /> PURGING DATA <br /> Purge Method VA GLc /7 i 'c-cPurge Depth sClqCE=/V Purge Rate 77 <br /> Tifne <br /> Volume Purges(gal)— <br /> -23.0 <br /> -2,3.0 :2:, <br /> pH <br /> Spe7 1 <br /> ctflo Conductivity(umiias)z ]�[ 7�/ "��O 7�� <br /> ,F.e v f <br /> Turrfiid�ty Color=« ;_" to ��u Ls; dw <br /> _,..i k„KV�.s.,c.._. _ +c+} -►ter-n. / //�� ///'��L <br /> .Odor u i"'.•.'fir��. ryy',`,.'" s„,.,.; �*F' <br /> CastngVafurnesRemoved i /! <br /> Dewater`ed`i� <br /> - <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled Approx Depth to Water During Sampling �y <br /> Comments <br /> volume Shipped Under Cham <br /> Sample Number at Container Filled of Custody at a°C Analysts <br /> Number Containers Type Preservative mL or L Turbtdiiy Calor IN1 I Method comments <br /> 4PI kv VDA hc-(- rn�. gra« C�c�! g <br /> Iota[Purge Volume 4 Disposai/ContalnmentMethod i 1.E T,i t.t. <br /> , C- <br /> eatherConddions ''NN <br /> Condition of Well Box and Casing atTime of Sampling <br /> Well Head Conditions Requiring Correction(locks,damaged casing orwell box,etc) <br /> Problems Encountered During Purging and Sampling ZV <br /> I Comments <br /> PMSPROITEW FOAmS.Pt1RGEto94 <br />