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GROUNDWATER PURGE ANDS Date <br /> AMPLF FORM <br /> Project Name- _.. �.�-•w 7- 39 y <br />' ? Well Number <br /> Project Number Al-3 ? -2 m z <br /> +!� Personnel <br /> UGING DATA <br />' Water Level Measuring Method c <br /> �—. Measuring Point Description <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 A (gal) (gal) <br /> z 7d z � l • 0 16 a 64 i 44 � � ,� -�� <br /> PURGING DATA <br /> Purge Method r,r ! <br /> Purge Depth Purge Rate <br /> Time ; <br /> Volume Purged(gal) ` ,` 6 <br /> TemperatureA <br /> ( C) <br /> pH <br /> Specific Conductivity (gmhos) a <br /> sd ?.sro <br /> Turbidity/Color �jCri acv <br /> >r-Sr <br /> or <br /> Casing Volumes Removed f <br /> Dewatered7 • _ <br /> XpS <br /> Com men ts/Observations -i/ - <br /> Y r v <br /> SAMPLING DATA <br /> Comments Time Sampled . Approx Depth to Water During Sampling <br /> 11 <br /> Sample Number of Container Voiuma F�iad Sr*vP�Undar tarn a1 _ <br /> +► Conlairwa Type Preeeevative ks or Tur fy✓ J ate Custody Anetysa <br /> at s'C(Y/M Mood Comrmr-s <br /> Total Purge Volume l <br /> —. Disposal/Containment Method ,. <br /> r� <br /> oBather Conditions ndilion of Well Box and Casing at Time of Sampling [� <br /> ead Conditions Requiring Correction (locks damaged casing or well box etc )krolems Encountered During Purging and Sampling �— <br /> 'mments �� <br />