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1 <br />' GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name G�Xd Well No �2 Date <br />' Project Na S'�S 3� �'� • / �U�� Personnel <br />' GAUGING DATA <br /> Water Level Measuring Method Measuring Point Description 7-C <br />' Casing Total Req'd <br /> WELL Total Depth ( Depth to Water I I Water Column ( Multiplierfor Vclume Purge Volume <br /> VOLUME (feet) (feet) (feet) Casing Diameter <br /> CALCULA T ION <br /> OA- r <br /> 0 16 0 64 11 44 <br /> PURGING DATA <br /> Purge Method Y4CLynn? i�c cC;K Purge Depth Purge Rate <br /> T;me- <br /> Volume Purges(gal) <br /> "Temperature <br />' _SpecipH - <br /> fic Conductivity(uminas� ','w LL --��� 2 -70 5 -700 <br /> _Turbtdl#y/Cobr a :r" s- � L,'r l•� t�'C to�• <br /> �Castng VOlumes�OVecfa'" <br /> 7 Dewatered'? *� <br /> - - �., <br />' Comments/Observations <br /> SAMPLING DATA Time Sampled __da)l 0 _ Approx Depth to Water During Sampling { <br /> Comments <br /> Volume shipped Under Chain <br /> Sample Number of Container F'lled of Custody at Loc Analysis <br /> Number Containers Type Preservative mL or Ll Turbidity Color (YfN Method Comments <br /> VOA GL rnL. I 1 tc>_cr- Y tnYeF- <br /> k I k <br /> 1 I I I I <br /> Metal Purge Volume Dtspesal/Centainment Method -rAi L e 7-0 RoAALL<- <br /> eatherConditions ryvvN <br /> Condition of Well Sox and Casing at Time of Sampling 0K <br /> Well Head Conditions Requiring Correction(locks,damaged casing Orwell box,etc) N <br /> Problems Encountered During Purging and Sampling <br /> Comments <br /> PARS PR CI TEMP FOR M IPUAGE1096 <br />