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GROUNDWATER PURGE AND SgAPLE FORM Date <br /> Project Name Well Number (fv <br /> rolect Number Q _ Personnel _ <br /> GAUGING DATA <br /> water Level hteasurung Metf7od Measuring Pomi Uesrri n+on <br /> Totdl Depth Depth To Water Water Column Mutt+pher For Casing Total Req d <br /> WELL (toot) (feel) VolumPurge Volume <br /> VOLUME _ (foot) Casing D+amoter e(gal) (gal) <br /> CALCULATION �] ...r X 2 4 6 <br /> lJ `� G /-5 016 144 .� <br /> PURGING DATA <br /> Purge Method �� iir./� Purge Depths y� v� Purge Rate <br /> Time h~ s <br /> 4olume <br /> Tem;aeratt,r ( C) Z -30 <br /> Y3 �� <br /> /, 2 1 76 <br /> `>✓}s�i `"E Rin,,,`ti"}.. •'� n.� <br /> y�c��` ^�y"A��`•#• ^.cn"�"`� '�'7`.c,-3,o-,�,�'��„w.a.w, �� Crw4 Cir <br /> tomments/Observations <br /> MPIJNG DATA Time Sa led- <br /> mP Approx. Depth to Water During Sampling- <br /> Comments: <br /> �,��, <br /> F sP''c�ra'n efS: .,rod>,�,r n.H.tv.v <br /> ,`..a '+.or�rieCS v�; 1�ra5aya`...`pc ^l".-�'k3'xa ��`m�s2a+-�yc : }✓ M' y� fr}t o' ''; riSS -x�c..Yy'2-$moire., R, <br /> ng <br /> rsr» <br /> 4v +�1} Vld 11i �.ar�/a[<<77Mi�� �n�"�'��y4"t'ivM l`���i!••`rI"_.v�}�.L�'3[�'���vK"5�£� } � }H�...i <br /> � � G I"r✓ <br />�Iiher Conditions.Purge Volume. ` Disposal/Containment Method.�n C� <br /> f n of Well Box and Casing at Time of Sampling' B- <br /> rad Conditions Requiring Correction{lodes,damaged casing or wen box.eta)- IA-i <br /> s Encountered During Purging and Sampling. As <br />�mments <br />