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w- - � -��r1ix`•� ,5 ��r a ad;+. r:n z', .'S s r x�;j', IW140-11 <br />�q <br /> i <br /> } <br /> GROUNDWATER PURGE AND SAMPLE CORM (COnt <br /> WELL NUMBER: <br /> PROJECT NAME:JSXX '' <br /> PERSONNEL: <br /> PROJECT NUMBER,1 <br /> SAMPLE DATA: <br /> TIME SAMPLED: t7 - <br /> DEPTH SAMPLED(It): <br /> SAMPLING EQUIPMENT: <br /> COMMENTS: <br /> 511PPEO,UN0ER ANJILYS>`+ . <br /> YpUIuE - ::AEW E9i COFISZENT <br /> T10-D F'LLM, TTfrZ TY COLOR CYLV YOFOCIY Y (41E71iD0) ... <br /> SAMPL1: NO.OF - CON TAINCR PALr,EAYaT1YE FiLTRAYIOH �l�^ <br /> NOL GONTAMCRS TYPE (rnr'or 11 f�I'f --,�4 <br /> iA <br /> PURGE WATER DISPOSAL NOTES: / 5 <br /> TOTAL DISCHARGE(gal);--_-- <br /> ,� ,c�L- /! <br /> DISPOSAL METHOD: <br /> DRUM DESIGNATION(S)NOLUME: <br /> COMMENTS:-`- <br /> WELL HEAD CONDITIONS CHECKLIST(Circle YES Or NO- if NO,add�Ornments) <br /> SING LID AND LOCK).� ,: r�ES J NO <br /> WELL SECURITY DEVICES OK(BOLLARDS,CHRISTY LIDO A <br /> INSIDE OF WELLHEAD AND OUTER CASING DRY?: YES NO <br /> WELL CASING OK?: NO <br /> COMMENTS: <br /> GENERAL C'.%G*h <br /> WEATHER CONDITIONS: ,�� <br /> TEMPERATURE(specify-GI-F): <br /> PROBLEMS ENCOUNTERED DURING PURGING OR SAMPLING? <br /> COMMENTS: <br /> C.C. PrOiw Martagor_ <br /> Job Re:��--�-- <br /> rplher: <br /> 1 <br />