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lEn <br /> GROUNDWATER PURGE AND SAMPLE FORM Date <br />' Project Name - Well Number <br /> Project NurntJer '93-7�- -22Z`G} +�3 Personnel `— <br /> UGiNG DATA <br /> --_ <br /> tiV II(Ir Leval M( ,,]Suruaq k4etllocfr '_ YvI ��� MCdsuruul f cosi f)e;crrl�i,on - <br /> Total Depth Depth To Water Water Column Muttipher For YCa 9 Tota,Re dq <br /> WELL Total <br /> (feet) (fact) Casing Damoter Volume Purge Volume <br /> VOLUME .� <br /> CALCULATION (gal) (gat) <br /> x 2 4 <br /> L � <br /> • S ] 016 064 144 Z <br /> PURGING DATA <br /> Purge MethodLG�y, ���. Purge De the 5 <br /> g A Purge Rate /Pt- <br /> Tune" " <br /> Volume 0,611ged fpQ <br /> Temgeratiui (�� xary J"ti{ ` 1 o Z <br /> Z � Z ! ° <br /> sPf,c-conct ,i> � <br /> ;v``'y�°wa,. 6'�.+i{C`{.FA,.v".su�m."'�yv'•-r��vc`'�'�F',.4 <br /> �s�saierT�ktt sw,n y+rk rM ra'c,,:a:""ti,. <br />�mments/Observations- <br />�MPLING DATA <br /> -------------------------- <br /> Time Sampled. Approx. Depth to Water Dunng Sampling- <br /> Comments- <br /> r'?y k�scK <br /> ' �r�t'_.�,^v�£`.Y.�+�#�4@ly�h' cam,, rG.c4��'�'4`� ���, � •�Z�"�a`y� �; fr 3� S;r�y,;��' A�w.�r�.x` <br /> i <br />�I Purge Volume. Disposat/Containrnent Method. <br /> ther Conditions_ <br /> n of Well Box and Casing at Time of Sairprog: <br /> ad Conditions Requiring Cotredlon{locks,damaged casing Orwell box,etc.)- tti-- <br /> errt_s Encountered During Purging and Sampling: r✓ <br /> rtments- v_� <br /> 1 <br />