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' GEOUS.Well Purging Form <br /> aCrwwr o /` G�.0 62 <br /> r n Irt WAPLE NO- w ~ - <br /> ZOO <br />' a>0Wz[M m <br /> WELL OBSERVATIONS <br /> WELL CASING AND LLD. INTACT-DAMAGED•MOVED-NONE LGCX®. YES-NO KEY NO <br /> WELL DIAMETEF: 2' 4• d-W-OTHEFL SncxuP f-ecia-T. FT-M <br /> MEASURING POINT TIC-�GRS-OTR IOC-TIC OIPF'ZB'?1TICe �M <br />' VAPOR READINGS„ po-FM DEVICP- <br /> BACKGROUND. INSIDE WELL C.'1SING. <br /> NAR LAYERI O$SERVE : FLT-SNK-NON SAMPLES YES-NO THK:(NESS: W-CM <br /> tRGING CALCULATIONS <br /> (A) DEPTH TO WELL BOTTOM. `! FT-M MEASURED-FiSc7RDED PREVIOUSLY <br />' (9) DEPTH TO WATER: �2 7� 3 . FT-M TIME MEASURED <br /> (Cj WATER COLUMN HQGHT(A-ay _ . 32. <br /> Q .`o � �m WAR Factor-0.041 (1N�11 Dlarrr�r m lnchsa3= <br />' (0) WELL DIAMETER FACTOR GPF'LPM (,r�p 10. 4. 6St 8.= 1 47; s•=2d1 GPF) <br /> (E) ONE WELL VOLUME(C x M -2 {a GALL (2'-2.0. 40 g,=. e' 182 9'=ZL4 LPNQ <br /> (F) VOLUMES TO BE PURGED. <br />' (G) TOTAL VOLUME TO BE PURGED (E x F) { <br /> PURGING INFORMATION <br />' PURGWG METHOD. BAILER- U8.PUMP-C1:Nr Pl1MP-OTIiEA. <br /> DEVICE DESCRIPTION: <br /> PUMPISAILER INTAKE DEPTH: TOP OM- ESWWELL-WATER SURFACE <br /> PURGE WATER. DISCHARGED-TREATED-STORED ONSITE STORED IN: TANKS.DRUMS NO.. <br />' FlFL.Q PARAME MS MEASURED 114 FLOW THRU CHAMBEROPEN CONTAIN <br /> DEPTIi PURGE HELD MEASUREMENTS <br /> g TO TURBID <br /> �� RATE •QTY 17e-,W �o� CcmmENrS <br />' (GPM.LPIM) f <br /> �I/5' T13-171 i 1 G7o� ! <br /> 1 17,ft) 7J. i I r 6eo1 1 /> I'vell 6/0 <br /> 11 3 ( 1 17 d97,�. G 1 �sd j �hd k.r�1 !�o <br /> 1 1 1 1 1 1 1 <br /> MTP' Tomperan" MCL-Color MOO•DWwhtid Oxygen M07 -OTW in Will <br /> MSC-Spedfic Conductance MPH-pN MOS -011tisr- M02-GTW In Well <br /> MPO-Phawlor fxar(e.g, HNu) MEH-a MC2-CVier M03-OTW in Wag <br /> MFD-Flame Ionizer(e g., OVA) MAL-Alkalinity M03.Othw -�. M04-OTW In Will <br /> COPYRIGHT 0 14➢1 r <br /> by Roy F YVreon ir+c 6071 OW <br />