Laserfiche WebLink
I <br />' Date <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name _ 3 �7i Well Number I' � l< <br /> 6Project Number __ �313 q q Z v Z6 Personnel <br />' GAUGING DATA <br /> Water Level Measuring Method 0#1 <br /> C nYp' 64—, Measuring Point Description <br /> Total Depth Depth To Water Water Column Casing Total Re d <br />' Multiplier For 9 <br /> WELL (feet) (feet) (feet) Casing Dramoter Volume Purge Volume <br /> VOLUME .mss �/ (gat} {gal} <br /> CALCULATION 1-b`f— X 2 A 6 r <br /> r <br /> PURGING DATA <br /> I <br /> Purge Method 16Aril 7 Purge Depth-_ c_�L frt GV 1/7 <br /> Purge Rate � <br /> Time n <br />' Volume Purged (gay v - (U <br /> S JeCt G 06nductWity 4tr Thos) <br /> Casing V-0tumes Remdved d 5 <br />' DewatereO . nr <br />' Comments/Observations o C <br />' SAMPLING DATA Time Sampled --.L<;7 q � I <br /> Comments 1;_1ytPpr ox Depth to Water During Sampling <br />' ^ $amPG Number of Conwnor. 3loiurne Filled ShPPed 3ev Chain of <br /> I+tambet c vn r,ers ;�;re Frrasenapve t#;+i or E) u�idrty,- Cofar ar a c(YJN3 �meftd rwris <br /> w� tfes � l LCQ- Yd COW G�c1 `/ <br /> Total Purge Volume _ Disposal/Containment Method V1 lJ <br /> Weather Conditions <br /> dition of Well Box and Casing at 4e of Sampling <br /> tl Head Conditions Requiring Correction (locks damaged asng or well box, etc) v <br /> roblems Encountered During Purging and Sampling v1 v�1Q <br /> Comments c d <br />