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AMGROUNDWATER PURGE AND SAMPLE FORM pate: - � <br /> Pralect Name 'X�--.�� 7 �9 u: Well Number. V� <br /> Protect Numcer ,"��^ iT^ -� Personnel. -Z L7,7 -_ <br /> GAUGING DATA <br /> Water Revel Measuring MethodMeasunng Point Descnption <br />' To;al Ceoth Depth To Water Water ColumnC Multiplier For Casing Total Req <br /> WELL (feet) (feet) I (feetLUME ) Casing Diameter Volume Purge Volume <br /> CA, DULA-no,%4 �� X /F16 <br /> g o I fi (gal) =ai1 <br /> 1 <br /> Z� p Q ?/ a sa I1 as <br /> PURGING DATA l ' <br /> Purge Method ✓��(���n� ?y�r /c _ Purge Depth- Purge Hate Z <br /> rime <br /> Volume Purged (gal) <br />' Temperature (°C) = - J{II <br /> M- <br /> pH - . �_ �_ <br /> Specific conductivity+(µmhos) <br /> Turbidity 1 Calor "r - -; ct� la <br /> Odor -: ~ .t , t r t r <br />' Casing Volumes Removed <br /> Dewatered7 -- "fat. <br /> CommentslObservations <br />' SAMPLING DATA <br /> Comments- <br /> Time Sampled 4 �S` Approx Depth to Water During Samplin - <br />' r Y <br /> s+ma�s Wrri4°' Cu=dyM,at�„ <br /> H mvw a cams! - -l. r Voiur..s=z _+- - si.Qpen Ci�arnC3'ar'`st- - ; <br /> +s TYPO - Pres+rv�rNs (rtrl or(� Turkey C4k*r at 4'C(YIM Ii Mad w <br /> i yes �9 <br /> I I I <br />' Total Purge Volurre Drsoasal/Cantairiment Method T <br /> Weather Concrirors 7e7(-CC4 V <br /> Ccnartton of Well Fos anc Casing at Time of Sarroting <-- <br /> ',Veli Hea❑ Cana' c^s Pecrrrrng Ccrrec•on (Iacxs Carragea casing or well toz et= ; L P'-'errs <br /> E^cou^ e—e-o C..•rg Pirgmg and Sarctrng ..-•�. <br /> I <br />