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GROUNDWATER PURGE AND SAMPLE FORM Date // i11 <br /> Project Name- ,K,.r,ZT,�,7 .;�-9V. Well Number Lv <br /> Project NumberPer <br /> _ sonnei <br /> UGING DATA <br /> Water Level Measunng Method- c r <br /> Measuring Point Description <br /> Total Depth Depth To Water Water Column Multiplier Forgl �l <br /> Total Req'd <br />' WELL (feet) (feet) feet Purge Volume <br /> VOLUME (feet) Casing Diameter <br /> CALCULATION — (gal? <br /> 0 1Zl 5 <br /> PURGING DATA <br /> Purge Method <br /> Purge Depth Purge Rate <br /> Tame �- _.,-, <br /> g O i< <br />' Volume Purged (gal+ 71!1 , -7 <br /> Temperature ('C) ZD d o <br />' Zd <br /> pH ZOO o <br /> Specific Conductivety jL ' Fxi <br /> (µrrthos) � Ss44 <br /> 8r40 $'04 <br /> Turbidity/Color <br /> or <br /> tl <br /> Casing Volumes Removed - ! <br /> Dewatered? <br /> Comments/Observations <br /> SAMPLING DATA <br /> Time Sampled �9ys _ Approx Depth to Water During Sampling <br /> Comments <br /> Sa"+pb Nunoil of c4mai arSipped under Chain of <br /> Nu-b r Canlslnera Type Pnyeervarke Vaee+ne al custody Anil •� <br /> ��os Till color at 4'C mil biertr+ad Cortmants <br /> 1f4 <br /> I <br /> Total Purge Volume Disposal/Containment Method <br /> / rUm z az <br /> tondition <br /> ather Conditions <br /> of Well Box an <br /> d Casing at Time of Sampling gO <br /> ead Conditions Requiring Correction (locks damaged casing or well box, etc <br /> pomH <br /> ms Encountered During Purl and Sampling <br /> ments �� <br />