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IEM <br /> GROUNDWATER PURGE AND SAMPLE FORM Date _:�(� <br /> Protect Name �.j2�Q�/ 7- ���� _ Well Number <br /> rotect Number Personnel C- - <br /> AUGIt1G DATA - - <br /> bVaier Level Mc�jsurirzg Method Measuring Pont De ,c-ription T- <br /> Total Depth Depth To Water Water Column Multiptier For Casing ~Total f�eq d <br /> WELL (feet) (feet) (toot) Casing Diameter Volume Purge VoiUme <br /> VOLUME ,..,,,, — y _ (gaE) (g 31) <br /> cALcul�Tlort L1D Z,533 ! X I a _ <br /> 1 � o �n 11 , a <br /> PURGING DATA <br /> Purge Method Purge Depth.~ Purge Rate <br /> Time <br /> ATem�ratiire <br /> s� -7 <br /> SecitindretivttYtiX <br /> V v5 v V+J k <br /> � <br />�`�Ltl't3t� <br /> �'A,y+'S.•YE�i'svvxS35}+y^^.M..v�}3��tlry5s.vlvk2�3A�j43W`O'p���..M`lu'3wC:�c <br /> e � C�.t <br /> r+ a%�i '`S+ v4ry QS' '> 3Y•r.J'Y+y}�?.r i�'rY}'x+ Y�� <br />[Omments/Observations <br /> MPLf NG DATA Time Sampled: <br /> Approx. Depth to Water During Sampling- <br /> Comments- <br /> -- <br /> P-H <br /> s`�sr x.». J ,a.�5 a vo.srf� na"'sa way str��dx�tlp#st}-"rfx" rt�[t�v�2 �w� {rvis fu'jy� <br /> IfS <br /> CPurge Volume- G DisposaVContainment Method: <br /> her Conditions. <br /> n of Well Box and Casing at Time of Sampling: <br /> ead Conditions Requiring Correction(locks.damaged casing or wen box,etc): <br /> ms Encountered Ounng Purging and Sampling tj <br /> mments- <br />