Laserfiche WebLink
GROUNDWATER PURGE AND SAMPL FORM Date <br />' Project Name - Well Number <br /> 'rol'c3G1 Nur»Ii,:r � �Cf` � Personnel <br /> AUGING DATA <br /> 4J,ttc r I r.vLl Me i,,uriri�� Methcxi 1y y � �_`h�� Mea.urtng Paint Descnptior) `] <br /> Total' Depth Depth To Water Water Column Multiplier For Casing Total Req d <br /> WELL (toot) (feet) (feet) Cas4ng Charnoter Volume Purgo Volume <br /> VOLUME .� _ (gal) (gal) <br /> CALCULATION <br /> PURGING DATA <br /> Purge Method G Purge Depth,S Purge Rate r� <br /> Tithe <br /> :Volume Purged(gal)`. r ` <br /> Z z� <br /> v 7.6 77 7 ,7 7` 7 <br /> Speci5c Goqid[IGtiVftmgi't Os 7D� <br /> TW V�� ti�✓�f NJ�I A.�}�fti¢}`aY4` �.'3rr 1i / l <br /> Vv AVN' <br /> as <br /> 1 Vb <br /> fi`N,..N ,v nS.S.:�avt�vY:i S+.v-03 c'�"•+tl ,n}^v"v'}4� vi�,v'%i <br /> ' �{� <br /> ~l P.1 eke rS'f fic .rn v; x '.k"M Y✓ Yl/ 1 <br /> wry ,,,,•.c a;',;x <br /> t <br /> Fornments/Observations: <br /> all— <br /> MPLING DATA Time Sampled. S <br /> P Approx. Depth to Water During Sampling- { <br /> Comments- <br /> S•.'Iy,C4,.'y?V* `w`2"W`.' 1}f +�-G 4.2+x-4+sx ¢�;+�'•�"� <br /> `~yA`P$ `rlw$'OCv� f� xi `uhri 4v+v 'P�iin��NlY v'E'w �rN4 w� <br /> 2 r 2 4'i3::'� 3'%r } '• t Y R �f�x �,"'7J'�"�ea"P � F� f f� L -r' <br /> rs:a a '� �} 'jk>• rS}{ ?`x.,�ct3.�'%��'r}c.'v'Y`�">'f y.:�d"`c�re`� a"` )�1� fi3¢ +A'^`%� <br /> `^-0}3 h .3 Y�� S.� f ++s+r•>'V�i.%`�'jr'�r3'^�^��+� rv����V���'�KS 'f-0u.�� ]k"rt�'n}�rv��Y 4�3�.ty�S <br /> I Purge Volume. Dtsposal/Contatnment Method_ _ _- <br /> ther Conditions: <br /> not Well Box and Casing at Trne of Sampling- <br /> ead Conditions Requiring Correction(locks,damaged casing or well box.etcJ: <br /> ms Encountered During Purging and Sampling- <br /> mments: <br />