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1 <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> ProlectName 455�-Kd Well No P-1 Date <br />' ProlectNo S/S 3� �2 . / 3U<� Personnel <br />' GAUGING DATA <br /> Water Level Measuring Method '17-eR FS _ Measuring Point Description ACS' <br />' Casing Total Req'd 11 <br /> WELL Total Depth Deoth to Water Water Column Mcsltiplierfor Volume I Purge Volume <br /> VOLUME (fent) _ (feet) _ (feet) x Casing Diameter (gal) (gal) <br /> CALCULATION2 Q I 6 )) <br /> 016 Q64 1 44 <br /> PURGING DATA <br /> Purge Method � cLc_u.YY1 -,,—kctF KPurge Depth Purge Hate <br /> Tirnewa •,-" -_=- 125 123co 1Z3� <br /> Volume Purges(gal) <br /> 'Temperature(°q}'V- # <br /> 4 <br /> y Specific Conductivity(umhos)`N�,s �� I `� --s Q <br /> I�'r <br /> Ctp C t..cuY' G x <br /> Odo <br /> Casing Volumes Removed <br /> yDewate(ed7 "' ' <br /> IComments/Observations <br /> SAMPLING DATA Time Sampled C2-1�'C) Approx Depth to Water During Sampling <br /> Comments <br /> Valuate Shipped Under Chain <br /> Sample Number of Container Filled of Custody at 40C Analysis <br /> Number Containers Type P eser�adve mL or ll Turbidity Calor (Y/N Method Comments <br /> 1 VOA I Hct- <br /> Total Purge Volume bAt LolvS Disposal/ContainmentMethod `nZAI e T' 'LLC- <br /> eatherConditions SL)fQQ-S <br /> Condition of Well Box and Casing at Time of Sampling <br /> Well Head Conditions Requiring Correction(locks,damages)casing Orwell box,etc) <br /> Problems Encountered Dunng Purging and Sampling 11��JJ <br /> Comments <br /> P%Z PAOLLTEMP FORMS PUt 131110 8 <br />