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GFOLIS Well Purging Form <br /> COMPANYSAMPLE NO tom' <br /> CLIENT S f MATE. <br /> PROJECT --r--��1 SAMPLER \ <br /> SITE. -� 1C/\.' SIGNATURE <br />' WELL OBSERVATIONS <br /> WELL CASING AND LID I GED-MOVED-NONE LOCKED YES NO KEY NO <br /> WELL DIAMETER 2' 4• -e'•OTHER STICKUP HEIGHT F-I'-M <br />' MEASURING POINT TIC-TOC-GRS-OTH TOC-TIC DIFFERENCE. IN-CM <br /> VAPOR READINGS PID-FiO DEVICE. <br />' BACKGROUND INSIDE WELL CASING <br /> NAPL LAYER OBSERVED FLT-SNK O SAMPLED YES-NO THICKNESS IN-CM <br />' PURGING CALCULATIONS <br /> (A) DEPTH TO WELL BOTTOM ow FTM MEASURED CORDED PREVIOUSLY <br /> (g) DEPTH TO WATER 7g Fr-M TIME MEASURED Z <br /> (C) WATER COLUMN HEIGHT(A-B) Z -30 FT-M <br /> WWII Factor=0041 (WNl Diameter in Inches) <br /> (D) WELL DIAMETER FACTOR 0- �7 �l GPF-LPM (2•-O 16, 4'-0 03; e"- 1 47, 8'a 2 81 GPF) <br /> (E) ONE WELL VOLUME(C x D) r 5, GALL (2'm 2 O, 4' a 8 1, S' - 18.2. e"=92 4 LPM) <br /> (F) VOLUMES TO BE PURGED 3 <br /> (G) TOTAL VOLUME TO BE PURGED (E x F)• <br /> PURGING INFORMAMON <br /> PURGING METHOD BAILER - ENT P-OTHER <br /> DEVICE DESCRIPTION r+ <br /> PUMP/BAILER INTAKE DEPTH TOP-BOTTOM- WATER SURFACE <br /> PURGE WATER DISCHARGED-TREATED-STORED ONSITE STORED INN ANKS�DRUMS NO <br /> FIELD PARAMETERS MEASURED IN FLOW THRU Cl-"BER-6P N CONTAINE <br /> DEPTH PURGE TURBID FIELD MEASUREMENTS <br /> TIME TO COMMENTS <br /> WATER ( ) -iTY /� Ie b <br /> Nle 2! 5 - <br /> t 50 2-t-0 76, <br /> 9.30 30 136,n <br /> b S c1V <br /> 19 <br />. MTP-Temperature MCL-Color MDO-Dhmotved Oxygen M01 -DTW in Well <br /> MSC-Specific Conductance MPH-pH M01 -Other MD2-DTW In Well <br /> MPD-Photoicnizer(e g., HNu) MEH-Eh M02-Other MD3-DTW In Well <br /> MFD-Flame Ionizer (e g, OVA) MAL-Alkalinity M03-Other. M04-OTW In Well <br /> COPYRIGHT 01881 by Eby F VNewn,Inc G071Q93 <br />