Laserfiche WebLink
GROUNDWATER PURGE AND SAMPLE FORM <br /> Date l3 Z <br /> Project: 6,=&C Well Number 1-7 6 <br /> Project Number: 9&'122 7•,Z! Samplers b <br /> GAUGING DATA _ <br /> Water Level Measuring Method ;�z Measuring Point Description /O G <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 2 G� � �� /� 0 6 o ta4 1 44 <br /> ✓4, -- <br />' PURGING DATA <br /> Purge Method: ''.A. U 6q` L Purge Depth- 30- P�_ Purge Rate <br />' ~Time~ G�� <br /> Volume Purged(gal), <br /> rTemperature-(°C) ;~~ Z�- C1 <br /> pH kv 6.9 <br />' Specific Conduwt ity`(tunhos� //00 <br /> .Yry <br /> v Ing Vpfit emavecl `E A <br /> Comments/Observations �.Lx-50- 4!2- <br /> SAMPLING DATA <br />' Time Sampled- Depth Sampled: Approx Well Recovery- <br /> Vofum Shipped Under Anaiysis <br /> YSample Number of Container ~ Fllfed ' Chain-of Custody ~Method <br /> Number Containers iTioe ,Preservative~(ml or-1 Turbidity Color at 4'G(YIN) (me#hod) Comments <br /> Total Purge Volume Disposal/Containment Method <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 <br /> Comments <br />