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GROUNDWATER PURGE AN Date / <br /> Project Name _ r7 -3Z D SAMPLE FORM <br /> gs� <br />' Well Number <br /> Project Number <br /> Personnel <br /> AUGING DATA <br /> Water Level Measuring Method ,� <br /> �' Measuring Point Description <br />' Total Depot Depth(feet) <br /> 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 /> 1 `jG' � �•� y 2 4• �� 6 <br /> 16 0 64 1 44 �• <br /> PURGING DATA <br />' Purge Method <br /> Y Purge Depth Purge Rate <br /> Time - Id S'� ♦DSS lcrT <br /> aM -R r_ Moe-,Purged (gal) <br /> Temperature (°C) <br />' PH __ s ....t a� _ �� ��e ps • <br /> Specific Conducttvity (pmhos) <br /> Turbidity/Color = of <br /> r <br /> or <br /> Casing Volumes Removed <br /> D <br /> Dewatered? N <br /> Comments/Observations Ira W C-Ts is <br /> SAMPLING DATA -rime Sampled �l�s <br /> Comments , Approx Depth to Water During Sampling <br /> Serie tWusrbar of coraainsr S1tq�e�Y tinder CAem a! <br /> Nu-bw Cha Type ' Vakana Flied t <br /> Cumtody Maly= <br /> (ml or Turt>lcey C.oiot at 4•C(YItV) IAethod Ca+rr�rnts <br /> I <br /> I <br /> Total Purge Volume <br /> D,spasat/Conta,rnment Method erss� S Oma, <br /> � <br /> oBather Conditions ndition of Well Box and Casing at Time of Sampling <br /> Head Conditions Requiring Correction (locks damaged casing or well box, etc ) <br /> roblems Encountered During Purging and Sampling 1�1 <br /> ornments <br />