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GROUNDWATER PURGE AND SAMPLE FORM Date <br /> Project Name Y Well Number <br /> Project Number _ �[- z- Z �_ Personnel s`� <br /> GAUGING DATA <br /> Water Level Measuring Method m ra� Measuring Point Description _ 7-0 - - <br /> Casing Total Req d <br /> Total Depth Depth To Water Water Column Multiplier For Volume Purge Volume <br /> WELL (feet) (feet) (feet) Casing Diameter (gal) (gal) <br /> X <br /> VOLUME �...r — <br /> CALCULATiOf� r o16 o64 Y 44 <br /> PURGING DATA <br /> Purge Method _ i Purge Depth- la�t�� Purge Rate <br /> p4 v> <br /> : k . <br /> Specific Coilductivit)r(9m" <br /> MIL Odor <br /> y <br /> Casing Volumes Removed <br /> Dewatered? �t <br /> r <br /> Comments/Observations <br /> L SAMPLING DATA Time Sampled Approx Depth to Water During Sampling <br /> Comments .\-L <br /> �, irrraexrtu�nc�r - ` <br /> Sato fe Nwnber of an#airear 'loge Ried ArraEys>s r < <br /> Number Co�ners Type Preservao+rc tmiorq Turbidtt}r Cajof ca'ctYini} lviethot Certs <br /> Total Purge Volume c%� i i ' Disposal/Containment Method <br /> Weather Conditions U <br /> edition of Well Box and Casing at Time of mpling <br /> it Head Conditions Requiring Correction(locks,damaged casing or well box, etc ) a I� <br /> Probfems Encountered During Purging and Sampling Oaf <br /> Comments JA �"� <br />