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GROUNDWATER PURGE ANDDate / t <br /> SAMPLE FORM <br /> Project Name- <br /> IWell Number- <br /> Project Number �_ _� Personnel � <br /> AUGING DATA <br /> Water Leve! Measuring Metllo t- <br /> Measuring Point Description <br /> Tota! Depth Depth To Water Water ColumnCasing Total Req'd <br /> WELL (feet) (feet) Muftiplier For <br /> VOLUME (feet) Casing Diameter Volume Purge Volume <br /> CALCULATION ^ _ (gal) (gal) <br /> 3.03I fi -- <br />' � 0 ,15 0 64 1 44 �� <br /> PURGING DATA <br /> Purge Method ���u����� <br /> Purge Depth S'c�-�� ..-�, Purge Rate � <br /> Time <br /> 09 o Z 6 Z� G 7 <br /> Volume Purged(gaf) <br /> Temperature (°C) - , Zp 4 00 �G ZQ40 <br /> pH _ <br /> Specific Conducttvlty (µmhos) G,,5-r? <br /> Turbidity/Color <br /> or <br /> Casing Volumes Removed ! <br /> Dewatered? <br /> YL� Lt/ <br /> Comments/Cbservations <br /> SAMPLING DATA <br /> Time Sampled <br /> Comments , Approx Depth to Water During Sampling <br /> sanvie I+h rmer of Volans Ftw sl Under Cham of <br /> Mlur, r Custody Artie <br /> Cor�lnera Type Pre�arvatMe (mi or 1) Tutudryr Caw at 4'C(Y" K$Mod Commartx <br /> I� <br /> Total Purge Volume I i <br /> 1 <br /> w/� III f <br /> — D�sposal/Containment Method ✓ I a Sj <br /> eather Conditions <br /> Londition of Well Box and Casing at Time of Sampling o c <br /> Head Conditions Requiring Correction (locks damaged casing or well box etc ) <br /> roblems Encountered During Purging and Samoting 1-1 � <br /> omments <br /> 1 <br />