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1 <br /> GROUNDWATER PURGE AND SAMPLE FORM Date <br /> Prolect Name - Well Number f • • _�__ __ <br /> Prolc.�ct Number S �9y,�Q� � Personnel 2 <br />' AUGtNG DATA <br /> W it r Level htea„urrr,q Mettzocl��i�ei� G' } <br /> ----- _ Measuring Point Description <br /> Total Depth Depth To Water Water Column Multiplier For Casrnc� rotas q d <br /> WELL (feet) (feet) (foot) Casing Diamoter Volume Purge Volume <br /> VOLUME .� — (gal) (gal) <br /> CALCULATION � / 1 Q � � p X 2 <br /> / � <br /> 4/J S Q (9 0 16 64 1 44 S <br /> PURGING DATA <br /> Purge Method f/�r iiGm -/� Purge Depth,S Purge Rate ;01� <br /> TttnO <br /> V01urne`Purg�d,gal} <br /> Terriperatur`e-(,,C) Z q0 -21 C) d <br /> 7 ? 7 <br /> Specific CbndQCtn('t”-l t�6s) <br /> 2a62 ?moo QO <br /> 0"s <br />-Ca t YyV <br /> romments/Observations <br /> 1AMPLING DATA Time Sampled. <br /> S Approx. Depth to Water During Sampfng_ Ll <br /> Comments: <br /> y <br /> Jwl^c �9?~i4r1( iit$r� ��s•�E {+ +Ft �� s .r}u' . ^>Mes �irn <br /> fC <br /> }t; `'}€Ja bh •x`� ,r ��''x »,,. �,�.� y�yy`a, '+''�k.Y., 1a a€�MFx-'-.+ <br /> .n' rIEY,r 4€'{s's�" a � ��•'.. FCy}.yx4 x3 <; t'b,y •��1�m{ }c3o{"t "' rxx `�'">"i.9•' t <br /> w1Z � G G <br /> I Purge Volume <br /> her Conditions: DisposaVContarnment Method'i � <br /> n of Wett Box and Casing at Time of Sampling fe- <br /> ead Conddtans Requuing Correction(lodes,damaged casing Orwell box,etc.): w-- <br /> erns Encountered Dearing Purg4ng and Sampling- +L� <br />)n ments k tom --- ---- -- -- <br />