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GROUNDWATER PURGE AND SAMPLE FORM Date - <br /> Protect Name 7-T Welt Number <br /> rotri Number ��7t= _` Personnel <br /> C <br /> ITIFAUGING DATA <br /> tvleayfjrwq Method , 1 Measuring Poiret t7escriptioit _ ' <br /> _ iv-C <br /> Total Depth Depth To Water Water Column Multiplier For Casing Totaotae dq d <br /> WELL (toot) (feet) (foot) Casing Diameter Volume Purge Volume <br /> VOLUME (gal) (gal) <br /> CALCULATION �� 1.� J� 2 4 6 <br /> 7 <br /> �. 7 �l ' 016 064 144 / <br /> PURGING DATA <br /> Purge Method �e-fL Purge Depth 5-c Purge Rate z <br /> TItr18 v r}}µyl 76 l IS <br /> Volume Purged <br /> Temperature(oC <br /> ) z� a z3 zip o <br /> g 27 7 <br /> Gf. <br /> s4 i-��c°`v.'`t3 ' <br /> C s�tg tfo mesllTemc <br /> Jre'N�Ke <br /> 4~ x <br /> tomments/ObServations, <br /> rMPLING DATA Time Sampled. S <br /> p Approx. Depth to Water During Sampling- <br /> Comments <br /> a^may' <br /> �t�S�L v���y fJ3•�� Y� 7i��"v3 Si`� f ' Mr��� e ,�"� MFIV�I��G1�[� Y¢ ������{-Y y��`i�7'tYr�QCf� � "¢`� <br /> �` F [iEYSc3+9 aj�jk!}i`E c,Y� , fitAilf13Y}s, x "`j>•-�wt• ,:aa „, r°•4Y,,`" $ ii •`r .�'c�`. .bwc�v tl..;,a�..`` <br /> rr <br /> Purge Volume. Dlsposal/Containment Method: <br /> Iter Conditions- <br /> t n of Well 13ox and Casing at Time of Sampling: d!� <br /> ad Conddions Requinng Correction(lodes.damaged casing or wen box.eto.)- <br /> ms Encountered During Purging and Sampling: K� <br /> imments: <br />