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� l� p <br /> GROUNDWATER PURGE AND SAMPLE FORM Date z <br /> Project: Well Number:_ <br /> Project Number:_ Samplers. <br /> AUGING DATA <br /> Water Level Measuring Method- r'?-�4f Measunng Pont Description o <br />' Casing Total Req'd <br /> WELL Total Depth Depth to Water Water Column Multiplier for Casing Volume Purge <br /> (feet) (feet) (feet) X Diameter (gal) Volume (gal) <br /> VOLUME _ <br /> CALCULATION � ��, 2 6 <br /> .>f- f�' Z- 0 16 0 144 <br /> PURGING DATA <br /> Pure Method. 6�& �U�P Purge Depth.�7�(4 Purge Rate <br /> 9 <br /> Time <br /> Volume Purged(gal) <br /> Temperature(°G) : . .. 2 3 t S -2Z. I Z Z/, G7- <br /> P14 f l 77. ?-0 <br /> f <br />' Specific-Gonducttvity(Pi Tihbs) 0 q00 i:,50100 qQQ <br /> Trbtdy ;1;ColorN. Fy :}l <br /> Y 6 <br /> 0r° n 4 V«w : ' 4l"i w{ j-I G Ale <br /> Ging Voldmes Rtsrrts �•' /. ,� <br />' Dewatered? (YIN)< N <br /> Comments/Observations <br /> 1 <br /> SAMPLING DATA <br /> Time Sampled: /—�� Depth Sarrlpled:.Al2 971 Approx. Well Recovery* <br /> v Volume shipped tinder :Analysis <br /> SarnlSf�r NUmberat Container Filled Chain ofCt�stody Method <br />' <br /> Numberl Contains Type Preservative r OTurbidity Color' --at 4'*C`(Y/N) (me'thod) Comments <br /> 2j 110 �l C.1� Ye -.d 13PIq ves froqMW Laos, <br /> Val <br /> Total Purge Volume Y4 Disposal/Containment Method <br /> Weather Conditions <br /> Condition of Well Box and Casing at Time of Sampling <br /> Well Head Conditions Requinng Correction (locks, damaged casing or well box,etc) AcKXA` <br /> Problems encountered During Purging and Sampling ,-AlgQ _ <br /> Comments- wr <br />