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' GROUNDWATER PURGE AND SAMPLE FORM <br /> ProlectName e5�-Konl Well No =VV -I Date <br />' Project No S'/S '�'? Personnel CHIP-15 <br />' GAUGING DATA <br /> Water Level Measuring Method Measuring Point Description i<:` <br />' Casing Total Req'd <br /> WELL Total Depth Depth to Water Water Column Multiplierfvr Volume Purge Volume <br /> VOLUME (feet) (feet) (feet) X Casing Diameter (gal) _ (gal) <br /> CALCULATION �� �l 4 2 � 6 ^ <br />' 0 16 I 0 64 1 44 17 f <br /> PURGING DATA <br /> Purge MethodyFi GL-CL.L ,11 Purge Depth SCR-C:�-ON Purge Rate �P � <br /> Tfi=ne_ 4-6- I t-2-4-1251 iZ'S4 <br /> Volume Purges(gal) r7^t - c) 5� <br /> 4^ F� <br /> ,"7-Temperature(°C)- f; �, 3 O I /��-�o t . z2 70 <br /> `- - -. - = rte 3_ 7--7-5 T CA7 7v 7:71 <br /> Specific Conductivity(itmhos} 'ice —7�j --j 3Z -7 3 S -7 3� <br /> r <br /> ��:rbidd, /Color µ ;��,_� I LT L,T LT <br /> s -� t �r _ <br /> x r -s-> �, C t C tz C L2le Y' C lCt <br /> ,Odor <br /> Cas111gVolumesRemoved = <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled V',N:>-0 Approx Depth to Water During Sampling ,Q <br /> Comments <br /> Volume Shipped Under Cham <br /> Sample Number ofContainer Filled of Custody at 40C Analysis <br /> Number Containers Type Preservative (ML or Ll Turbidity Color �y Method Comments <br /> w` I IVDA HcL I rnL- :21119 � <br /> k <br /> I I I I <br /> I I I I I I <br /> WotalPurgeVolume `� 6Ai SNS„ Dlsposal/ContainmentMethod 7�tC,E �7 XLc-- <br /> eatherCondibons Sd <br /> ICondition of Well Box and Casing at time of SamplingWell Head Conditions Requiring Correction(locks,damaged casing orwell box,etc) <br /> Problems Encountered During Purging and Sampling <br /> Comments <br /> PMS PRCLIT$MP FORMSPURG1110W <br />