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' GRGU Date _.15- 3 <br /> NDWATER PURGE AND SAMPLE FORM <br /> Protect Name '3 Z Well Number <br /> 6 Protect Number Personnel <br /> GAUGING DATA <br /> Water Level Measuring Method fCo tie <br /> Measuring Point Description T L <br /> Total Depth Depth To Water Water Column Multiplier For Casing Total Req'd <br /> WELL (feet) (feet) (feet) Casing Diameter Volume Purge Volume <br /> VOLUME v _ (gal) (gal) <br /> CALCULATION n 2 4 6 <br /> 01 064 4a I•�L . <br /> PURGING DATA <br />' Purge Method La W r-tAtv� za✓► � � Purge Depth -0,01 Ini" Purge Rate <br /> 9 <br /> Time <br /> �sav <br />' vvt6me Purged(gaj" v u <br /> Temperature�4C) <br /> Speci#i��tductivtty�t.tir�hos� �� <br /> Turbid /,Color <br /> Casing Volumes Removed d <br /> Dewatered? , <br /> Comments/Observations �� cs, �� �G L w �u O <br /> � J <br /> I SAMPLING DATA <br /> Comments p Time Sampled <br /> Approx Depth to Water During Sampling <br /> ' Sam}Ka Ntnriber of Conti n(W Vorume FAfed t htdor Chwn qt <br /> Nrltrtber "i�ntarners TY-1- Pmservahv� r�rrrt} urbrdny Co€ar �uslady Artatys�s <br /> gr 4•C 4YINI fV1e�t7OCt' �OtfF{ICJF24 <br /> VJrT� C 6 aA- r'3'C-r-n <br /> Tota[ Purge Volume _ rf7 r 6��- Disposal/Containment Method t-fy C �� La• <br /> Weather Conditions <br /> dation of Well Box and Ca ng at Trme of Sampling <br /> 11 Head Conditions Requiring Correction (locks damaged casing or well box, etc) d�- <br /> roblems Encountered During Purging and Sampling C(h Ira <br /> Comments o✓i Q <br />