Laserfiche WebLink
I <br />' GROUNDWATER PURGE AND SAMPLE FORM <br /> ProlectName G��d _ Well No �—w 4'_ _ Date <br />' ProlectNo T/ Personnel CLL"�15 <br />' GAUGING DATA <br /> Water Level Measuring Method AIZI RF�(..c o6t= Measuring Point Description irC�— <br /> Casing I Total Req'd <br /> WELL Total Depot Oeoth to Water Water Column Multiplierfor Volume Purge Volume <br /> VOLUME (feet} (feet} (feet} Casing Diameter <br /> (gal} (gal) <br /> CALCULATION — <br /> �'�' 2 I 1 6 <br /> II 0761064 11 44 I �� <br /> PURGING DATA <br /> iPurge Method VFi_C.c-tuyyl Purge Depth SCIqj!EF-6V Purge Rate <br /> Time <br /> Volume Purges(gal) �� <br /> �S <br /> Temperature o <br /> { <br /> -- 4. _ - �w ,_. 7� 5 7. (v 17 &o 17. s�9 <br /> _Specifc Conductivity(umbos}' <br /> I ,. _ . _ <br /> 7urlaidrty/Color r- ,a <br /> Ary�94 •r�4 ——tAfeivy`3}.�F _ <br /> CastngVolumesRemovect�.�.:,:..��_ ��/J <br /> IComments/Observations <br /> SAMPLING DATA Time Sampled �'�- Approx Depth to Water During Sampling <br /> Comments <br /> I Volume Shipped Under chain <br /> Sample Number of Contairter Pitied of Custody at 4°C Analysts <br /> Number Containers Type Preservavve (mt_or!_1 TurCtdity Color " Method Comments <br /> ! ^ Ivo, hCL- ML- <br /> k <br /> I I I f <br /> otal Purge Volume bALt-z)NS �— ■isposaVCantalnmentMethod A,Lep— T D l-pm L c— <br /> Weather Conditions506c)SA <br /> I Condition of Well Box and Casing at lime of Sampling OAC. <br /> Well Head Conditions Requiring Correction(locks,damaged casing orwell box,etc). <br /> Problems Encountered During Purging and Sampling <br /> Comments <br /> PMS PRO•LTEW POPUS.PUAGEtON <br />