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GROUNDWATER PURGE AND SAMPLE <br /> I FORM <br /> ProjectName WellNo �'� Date '27-:26- ? <br /> 7 <br /> PecNo <br /> SSS 3q `'"� • 1 3C��� Personnel ��f��S CK>4'i�qy'RN <br /> GAUGING DATA <br /> Water Level Measunng Method /'`IT�R�.4r.c' P/Zc)i:F Measuring Point Description TCS!' <br /> I Casing Total Req d <br /> WELL Totai Depth Depth to Water Water Column Multipiterfor Volume Purge Volume <br /> VOLUME (feet) _ (feet) _ (feet) X Casing Diameter <br /> CALCULATION <br /> 0 1610 64 11 44 <br /> PURGING DATA <br /> Purge Method Vii CLtuYYt_ -770 o-c��K„ Purge Depth -5CQE01 Purge Rate <br /> Time= �a-43 1�D� <br /> Vofun:e Purges(gaE} <br /> Tern era <br /> �,, - L =_ <br /> _S�ecttic Conductivity(r U 'f/0Z <br /> . . <br /> Turbidity/Color-'-- a s- I <br /> a , CLz'- c <br /> ; ,, /- <br /> Casing VofumesR_emoved} � 13 <br /> IComments/Observations <br /> SAMPLING DATA Time Sampled !fit Q Approx Depth to Water During Sampling ^ / <br /> Comments <br /> _ Volume Shipped Under Chain <br /> Sample Number at Caniainar Filled of Custody at 4°C Analysis <br /> Number Containers Type Preservative mL or t-} Turbidity Calor Ml Method Comments <br /> Rsua IVOA Hct, I ML- I Cr <br /> totaiPurge Volume , _ 6�u��tiS Disposal/ContainmentMethod -MAILE 7-0 r t-- <br /> eather Conditions ✓tri <br /> Condition of Well Box and Casin at Time of Sampling E<- <br /> Well Head Conditions Requiring Correction(locks,damaged casing orwell box,etc) <br /> Problems Encountered During Purging and Sampling <br /> I Comments <br /> PMS PAWTEMP roRMs PUF GElm <br />