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GROUNDWATER PURGE AND SAMPLE FORM Date <br /> Project Name-zLi 71-2 ,!kz _ Well Number- L!/ 42 <br /> Project Number o z personnel <br /> AUGING DATA <br /> Water Level Measuring Method <br /> Measuring Point Descnptton <br /> Total Depth Depth To Water Water Column Casing Total Req'd <br /> WELL (feet) (feet) Multiplier For <br /> VOLUME (feet) Casing Diameter Volume Purge Volume <br /> CALCULATION X _ (gal) (gal) <br /> PURGING DATA. / 3 l 7 -.3 0 ?s 064 1 1 as <br /> Purge Method �/��� '�] ;, <br /> Purge Depth c ccs Purge Rate / <br /> Time , <br /> U 3 d SS <br /> Volume Purged (gal) z L.1 s-1 <br /> Temperature (°C) _ zDdo <br /> Z <br /> pH Gp � <br /> Specific Conductivity (µmhos} <br /> Turbidity/Color <br /> r� <br /> or <br /> Casing Volumes Removed <br /> (f? [ 3 <br /> Dewatered7 <br /> Comments/Observations <br /> I SAMPLING DATA <br /> Time Sampled y . Approx Depth to Water During Sampling <br /> Comments 9 P 9 <br /> S"n & Number or C«ntainerVotirrrs F�9ad Shaped Under chwn of <br /> Nearber Containers Type Cusedy Ana"m .; <br /> (rtti«I} Turtrldiry Coinr at a'C(YIN) i alMod C«trnerts <br /> 177 9 <br /> I �- <br /> I <br /> Total Purge Volume <br /> Disposal/Contairiment Method <br /> Weather Conditions <br /> ondition of Well Box and Casing at Time of Sampling o/G <br /> PomHead Conditions Requiring Correction (locks damaged casing or we€l box etc€ems Encountered During Purging and Sampling A � <br /> ments <br />