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G Date 5' <br /> ROUNDWATER PURGE AND SAMPLE FORM -- <br /> Protect Name -3 2 u Z- Well Number. <br /> Project Number �-13 3 y ':4-,7- i:,Z6 j Personnel <br />' GAUGING DATA <br /> Water Level Measuring Method fylhI C , g-,,6p <br /> -.� Measuring Point Description o c. <br /> Total Depth Depth To Water Water ColumnCasing Total Req'd <br /> ( <br /> WELL (feet) feet Multiplier For Volume Purge Volume <br /> VOLUME (feet) Casing Diameter <br /> r v (gat) (gal) <br /> CALCULATION —' X 2 4 <br /> 016 064 144 <br /> PURGING DATA <br />' Purge Method L "•,Jreog tqou - T CaL' v►� <br /> Purge Depth Purge Rate t 6 -va, , <br /> Time n J G,-7 n <br /> ' <br /> Vc�ume Purgeed(gad: c7 <br /> Terrtperature v <br />' p#t <br /> SpeCi66 CvrtdtUcJivttp:4tMhj)S) <br /> Odor- <br /> Case V-0fu zes Removed <br /> l 4 S <br /> Dewatered? <br />' Comments/Observations r E)V, <br /> SAMPLING DATA <br /> Time Sampled Ci <br /> Comments �0'?- Approx Depth to Water During Sampling L-;,-) <br /> i� <br /> sampia-. ,bar vi Cnnt�alner Vaaane#A1ed s�uppa� er'atrrot <br /> tau t r+ers Thr Preservatcv� #m!t�t1 Fud»d Gust" Analysis <br /> �Y �Corlot at 4C�Yjr4 Method` terns <br /> L��� OTEn <br />' r 11 el- <br /> Total Purge Volume rAnf Disposal/Containment Method <br /> Weather Conditions L �,l A 11 1 <br /> dition of Well Box and Casing at Time of Sampling N <br /> li Head Conditions Requiring Correction (locks, damaged casing or well box etc } L-`CL <br /> roblems Encountered During Purging and Sampling <br /> Comments <br /> I <br />