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GROUNDWATER PURGE AND SAMPLE FORM Date <br /> Project Name �. <br /> --� Well Number- <br /> project Number L <br /> Personnel <br /> AUGING DATA <br /> Water Level Measuring Metho -ry <br /> easunng Point Description <br /> Total DepthDepth To Water Water Column Casing Total Re d <br /> WELL (feet) (feet) Multiplier For 4' <br /> VOLUME (feet) Casing Diameter Volume Purge Volume <br /> CALCULATION � - X (gal) (gal) <br /> URGING DATA 064 16 I <br /> P 44 �3 I <br /> Purge Method <br /> Purge Depth <br /> Purge Rate <br /> Time - y <br /> �-. Dy L <br />' Volume Purged (gal) <br /> Z-3 • �v 7. a <br /> Temperature (QC) _ _ o <br /> PH a zap o /176 <br />' Spectfic Conductivity (itmhos) <br /> 7Sa 7S'� <br /> Turbidity/Color La <br /> or <br /> ' r' 4irtL <br /> Casing Volumes Removed + <br /> Dewatered? <br /> k� lti W <br /> Comments/Observations <br /> SAMPLING DATA <br /> Time Sampled <br /> Comments . Approx Depth to Water During Sampling <br /> Sample Nrrrioer or Coruirrer VOkwo Ft9W Shy Under Chun of <br /> !•1sarber Custody Anatysi <br /> Ccrre4+era Type Pre -Vmj re (rid a!) Turw&ty~ Co6or at 4'G(Y11v) RAetflod •; <br /> Total Purge Volume C' <br /> Disposal/Containment Method Yvw.s der <br /> Bather Conditions <br />[condition of Weil Box and Casing at Time of Sampling <br /> PHead Conditions Requiring Correctron (locks damaged casing or well box etc ) <br /> leets Encountered during Purging and Sampling 91� <br /> omments t^— <br />