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1AM <br /> GROUNDWATER PURGE AND SAMPLE FORM Date / <br />' <br /> Project Name 11v 7 4J `/ 7, Well Number X6Zl [_J <br /> ProjectNumber Personnel. -4 L— <br /> GAUGING DATA <br /> Water Level Measunng Method.,�rl�,rc��c,� rr�,l2�_ Measuring Point Descnption <br /> Total Depth Depth To Water Water Column Multiplier Far Casing Total Req'd <br /> WELL (feet) (feet) (feet) Casing Diameter Volume Purge Volume <br /> VOLUME _ _ (gal) (gal) <br /> CALCULATION ~ / X 2 4 6 <br /> /If ZD Z ( - 016 0 64 1 44 z <br /> PURGING DATA <br /> Purge Methody�1 ��.rte « IL Purge Depth 5'G1-c,c uL Purge Rate <br /> ' 9 <br />' Time <br /> Volume Purged (gat) <br /> `t a <br /> Temperature (°C} <br /> Q40 f p <br /> PH •:.ter <br /> Specific Conductivity (gmhos) 00 -7--5-0 <br /> J1�urbjdll 1 Calor <br /> w 6E <br /> W- <br /> 1v <br /> Odor <br /> Casing Volumes Removed <br /> Dewatered? <br /> Comments/Observations oLt <br /> SAMPLING DATA <br /> Time Sampled 4 <br /> Comments . Approx Depth to Water During Sampling <br /> SernpieN�i�ber o! Cor+tafc�sr K_= ="" yolw w Fi ed 4-. 5i�pedCUr dr am of N _ <br /> irh mtw corlaere o S ' <br /> Type�• Presemewo (mi or Tures <br /> tY � CQior It 4'C{Yrrr) MetEeod ' Corrmerts <br /> 9 <br /> $r iv �G3T� <br /> Total Purge Volume Disposal/Containment Method r, <br /> ather Conditions <br /> .ndition at Well Box and Casing at Time of Sampling <br /> Well Head Conditions Requiring Correction (locks, damaged casing or well box, etc ) j.— <br /> Problems Encountered During Purging and Sampling 1-- <br /> Comments L`' <br />