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GROUNDWATER PURGE SAMPLE FORM Date l S <br /> U AND <br /> Project- Lx2 y _ Well Number, <br /> Project Numberd7. Z Samplers 4L D.A <br /> AUGII DATA <br /> Water Level Measuring Method:ty P_ leasuring Point Description <br /> Total Depth Depth to Water Water Column Multiplier for Casing Casing Total Req'd <br /> WELL (feet) (feet) (feet) Diameter Volume Purge <br /> VOLUME _ X (gal) Volume (gal) <br /> CALCULATION 3 �. � 3� � �f � fl � 144�� <br /> PURGING DATA <br /> Purge Method: Purge Depth- An� Purge Rate <br /> TimeI �1 l?!7�' 32- <br /> 1 <br /> Volume Purged"(gal) <br /> .Temperature(°C) =n i _ Z Z,C) <br /> 3p1 <br />' Specific'CQnductivitY 0n4os) -L <br /> ,Turbidity Cofer t nCl� k r-ats� R,L �.� <br /> VC <br /> ' Sng V6Remdveda3 t <br /> 3-3 <br />' Dewatered7 (YIN), - < 1 \J AS -Aj <br /> Comments/Observations- <br /> SAMPLING <br /> omments/Observations- <br /> SAMPLING DATA <br /> Time Sampled: 1330 _._ Depth Sampled .fit-- Approx. Well Recovery- <br /> is <br /> } Volume Shipped Under AnaJois <br /> tSacnpia NUmbarnf Corltairrer l=ilfed Chain of Custod}t Method <br /> -Number. Cantaineri Type Preservative Graf orl) Turbidity Color at 4°C(YIN) (irietbod) Comments <br /> V-5 3 adOL v Qfwl AO mC, $ C'S <br /> Total Purge Volume Disposal/Containment Method 5 <br /> Weather Conditions . - <br /> Condition of Well Box and Casing at Time of Sampling <br /> Well Head Conditions Requiring Correction (locks, damaged casing or well box, etc) <br /> Problems encountered During Purging and Sampling s-4ey _— <br /> Comments <br />