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GROUNDWATER PURGE AND SAMPLE FORM pate <br /> Project Name l 9 <br /> xo.-i <br /> tWelf Number <br /> Project Number Q <br /> Persartne! <br /> ALIGING DATA <br /> Water Level Measuring Method <br /> Measuring Point Description <br /> 1Total Depth Depth To Water Water Column Casing Total Req'd <br /> WELL feet Multiplier For <br /> VOLUME ) {feet) (feet) Casing Diameter Volume Purge Volume <br /> CALCULATION X _ (gal) (gal) <br /> 016 64 144 <br /> PURGING DATA <br />' Purge Method �/„��_ T <br /> Purge Depth 527v-c-z5w Purge Rate <br /> TEme <br />' Volume Purged (gal)- <br /> Temperature <br /> gal)- <br /> Temperature (°C) = ` = P o d <br /> pH <br /> Specific Conductivity (µmhos) <br /> Turbidity t Color `. LDw t A�— <br /> or _ - ` r Ic <br /> Casing Volumes Removed <br /> a is <br /> Dewatered? ” <br /> �s <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled d <br /> Apprax Depth to Water During Sampling <br /> Comments <br /> Sarnpie Nun-bet of Contalrw VdwmCor�tainere T Pitied Shipped Under Cham of <br /> lMcmeer t'Pe Cu�ndy Anetrm U <br /> (int or Te+ri�ty^ Cdor <br /> at.i C(YIN) hbrtrtod CcrrrrWr" <br /> f <br /> � I � <br /> Total Purge Volume <br /> � � I <br /> Drsposal/Containment Method <br /> eather Conditions <br /> clition of Well Box and Casing at Time of Sampling o/� <br /> Head Conditions Requiring Correction (locks damaged casing or well box etc ) <br /> roblems Encountered During Purging and Sampling c- <br /> omments +-�� <br />