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GROUNDWATER PURGE AND SAMPLE FORM Date <br /> LProleci Name We1l Number <br /> Project Number Q _ _ Personnel e _ <br /> UGING DATA <br /> bVater i_c vel f.ir iSnrcnq Melhad Measuring Pomt Uc:scriptEon <br /> Total Depth Depth To Water _Water Column Mit(iplk r For Casing Tb(a] Reg d <br /> WELL (foot) (feet) (feet) Casing Diameter Volume Purge Volume <br /> VOLUME .�. — (gal) (gaI) <br /> CALCULATION / �j x 2 4 _6 <br /> 01G 064 144 Z <br /> PURGING DATA <br /> Purge Method / Purge Depth–Sc�in _.,__. Purge Rate .4— <br /> Time <br /> nVi�um�Purg`t�{garb " ; 0 � <br /> n <br /> 'Ten-perat6re'(oC) v zZo Zla Z ?� 7 <br /> /6 <br /> fS �• V <br /> sPeaja CQ�drjcti iV(�tmr>os, Y Baa <br /> 7"urbCd 1-Corlar ry . v �p w �0(•c/ Lry <br />}cLGz.��}lw <br /> �3�`+(t7'.�5+`wsR Crv$' h{^n <br /> F#1t�•`Rt'itit D } <br /> ifr it3,`,G°tanurc 2'?F�„:��{rrc�ty•M1�, <br /> ] C <br /> JL <br /> lomments/Observations <br /> rMPLING DATA Time Sampled. <br /> Approx Depth to Water During Sampling- <br /> Comments- <br />�•sKrk b}�'} nv8r:;S i"c',� r... �fi`•nfi'�x'�r r3,;.s'ss ;s^ 'S r ]� .. <br /> met�ts�ltt# s� z x <br /> a°°°'. .,a_v�..� ���hf"�,�r '1�`o-�`�.;a,,,, <br /> xve :Yx'4[1�E� •9�f�v �y1.5' N -.__G__v ,,yv'{"�S�r%? ''�i ilii�'6',T+,Z%"Tt'�Yv�'`�S[ {.���}�y��z,vl v)frit �(��,.i� xnw <br /> A�r�'.mN.v, fvv <br /> aa�n �f%s .. "1�,x f ^� �2f✓t'�114�� 'vc' � s3:'+.^ir:�,�'��' F� J "}'w'�o-^ <br /> Cix.0 v1v wrk'4Y x J"�'$� <br /> f Purge Volume- DisposaVContainment Method. <br /> cher Conditions r <br /> n of Well Sox and Casing at Time of Sampring: 4 lL i <br /> ad Conditions Requiring Correction(locks,damaged casing or weR box.eta.): k-- <br /> oats Encountered During Purging and Sampling- 9-1 <br /> nunonts- <br />