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GROUNDWATER PURGE AND SAMPLE FORM <br /> ProlectName C'�x� WelINo . l f(rQ —ML411. _ Date <br />' ProlectNo S/S�� �� • / 3y�� Personnel .�l`- C-'f-��i v'P LZ <br />' GAUGING DATA <br /> Water Level Measuring Method Measuring Point Description `—CC <br />' Casing Total Re <br /> WELL TatalDepth I Depth to Water WaterCa[umn Mu[tiplterfor Volume Purge Volume <br /> VOLUME (feet) ' (feet) _ (feet) X Casing Diameter (gal) (gal) <br /> CALCULATION f 4 6 r� <br />' 1"0 tip %�"J� 9 0 16 10 64 11 44 % 1� <br /> PURGING DATA <br /> Purge Method Vq Ct-t i�L-cr Purge Depth sCrt*/V Purge Rate 1--) <br /> 0 5--7 lU�� 1c27 1!ov <br /> Volume Purges{gal)_ <br /> i;Tetsiperatu e(°C) 'sT< v`�-a- ! C7 ::2-0 <br /> En',"rcdl <br /> Co4 ndu�ctivi <br /> m- <br /> hos) <br /> = (Q f � �� <br /> y/, <br /> Ca= asii'm <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled 1103 Approx Depth to Water During Sampling <br /> Comments <br /> I _ Volurne stepped Under Chain ; <br /> Sample Number at Container Flied of Custody at a°C Analysis <br /> Number Containers Type Preservative mL or L) Turbidity Golgi M Methgd Comments <br /> 11—ink <br /> I I I <br /> I I k <br /> TotatPurge Volume _ �y 6ftt-t_raNS Disposal/ContainmentMethod --J'?2Ait;,E Tri? A-i-c-- <br /> 111111111'WeatherConditions <br /> Condition of Welt Box and Casing at Time of Sampling 4 <br /> Well Head Conditions Requinng Correction(locks,dam ged casing orwell box,etc) <br /> Problems Encountered During Purging and Sampling <br /> I Comments <br /> PUSPROLTEMP r-ORM&PURGrita9ti <br />