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I � / i <br /> GROUNDWATER PURGE AND SAMPLE FORM Date <br /> Project Name _ 17 37YZ Well Number- <br /> Prolect Numbe �? 7794 2 .QL4�` Personnel � <br /> I AUG=Levelera <br /> Watethad. e Q <br /> Measuring Point Description <br /> I Total Depth Depth To Water Water Column Multiplier For Casing Total Req'd <br /> WELL (feet) (feet) (feet) Casing Diameter Volume Purge Volume <br /> VOLUME _ (gal) (gal} <br /> CALCULATION .rr X I 4 $ ,_,• <br /> I L �� 8 V� 76 064 144 �• <br /> � <br /> PURGING DATA 3 <br /> Purge Method . J Purge Depth <br /> Time Pelr9 e Rate <br /> - <br /> IVolume Purged (gal) _ Z. <br /> . 6, 7.0 <br /> Temperature I (°C) - �Qo <br /> pH 20 G- - f�G 19a Y <br /> � Z $'. g• Z �• U <br /> ISpecific Conductrvity (µmhos) 2410 7?S— <br /> Turbidity/Color 140,w <br /> or <br /> Casing Volumes Removed 1 <br /> IDewatered? X/ <br /> IComments/Observations <br /> I SAMPLING DATA Time Sampled <br /> Approx Depth to Water During Sampling <br /> Comments <br /> sa^rPb Nurteer at Carzzarw Vokare F4ed Shp�ed Untler G7iaur o! <br /> Number Conlakwa Type Preaerva We 0W a it Tumidity' CA kX Cusody K49M d •, <br /> at<'C(Y1tvf C+Aed�ad Comr�r>ts <br /> Total Purge Volume Disposal/Containment Method <br /> IWeather Conditions <br /> rnattion of Well Box and Casing at Time of SamplingI Head Conditions Requiring Correctson {locks damagear well box etc ) ��blems Encountered During Purging and Sampling ��ments ��� <br />