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II Date 913 <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> Project x - 2 S% _? P Y-7— Well Number:— <br /> Project Number. ` �`- - l Samplers J6 b `T�y <br /> GAUGING DATA <br /> Water Level Measunng Method 1^�z r1—j !,PP Measuring Point Description 7-0 <br /> Total Depth Depth to Water Water Column Multiplier fora <br /> asing Total Req'd <br /> WELL (feet) {feet) (feet Diametolume Purge <br /> VOLUME { _ _ (feet)*Diameter (gal) Volume (gal) <br /> r CALCULATION j d g <br /> 2 4 <br /> `f %�. l �� 016 <br /> PURGING DATA <br /> Purge Method: �1Ga?6L�� �L __Purge Depth p `4f Purge Rate <br /> ATime Y /z3c 1Z3C.- /Z� IZV6 <br /> Volume Purged(gal) f� <br />' Temperature(°G) 2 Z 2_2 z 2-, Z_ 2Z- 2- <br /> pH pM <br /> Specific Conductiulty lur tri s /0 1; <br /> Turbidity,, -Color n . o0 <br /> Eder <br /> Casing Volumes Riim'oved:"- � • � G , <br /> Dewatered? {Y/lel) O OHO N,d 116 <br /> Comments/Observations <br /> SAMPLING DATA <br /> Time Sampled. j �-' Depth Sampled: ) Approx. Well Recovery, �%a <br /> Volume Shipped Linder Analysis <br /> Sample Number-of CornWmOr Flted Drainof Custody Method <br /> Nurnber Contalners Type Freservative (tnt or t) Turbidity Color at 4°0 MN) (method) Comments <br /> L ' 1 -e S TV'V <br /> 7— <br /> Total Purge Volume /f� � Disposal/Containment Method ►Vi. <br /> Weather Conditions <br /> Condition of Well Box and Casing at Time of Sampling 241� <br /> Well Head Conditions Requiring Correction (locks, damaged casing orweli box. etc) <br /> Problems encountered During Purging and Sampling weiv <br /> Comments a <br />