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GLQLIS.Well Purging Form i r <br /> FCCOMPANY SAMPLE NO v v <br /> CLIENT S �`C DATE <br /> PROJECT SAMPLER \ <br /> SITE 5 Q SIGNATURE <br /> WELL OBSERVATIONS <br /> WELL CASING AND UD N�CT-DAMAGED-MOVED-NONE LOCKED YES-® KEY NO <br /> WELLDIAMETER 2--0 e--8--OTHER STICKUP HEIGHT FT-M <br /> MEASURING POINT TICUGRS-OTH TOC-71C DIFFERENCE. IN-CAA <br /> VAPOR READINGS PID-FID DEVICE. <br /> BACKGROUND INSIDE WELL CASING <br /> NAPL LAYER OBSERVED FLT-SN NON SAMPLED YES-NO THICKNESS IM-CM <br /> PURGING CALCULATIONS <br /> (A) DEPTH TO WELL BOTTOM ��-s �� Fr-M MEASURED- ECORDEDPREVIOUS Y) l <br /> (B) DEPTH TO WATER ` FT•M TIME MEASURED z �`/ <br /> I (C) WATER COLUMN HEIGHT(A-13) �` -7 -7 3 - FT-M Well Faetor-0 041 (Well Diameter rn Inch.e)s <br /> (D) WELL DIAMETER FACTOR �•- 7 GPF LPM <br /> (2 a 010, 4 -085, 8-= 1 47, B -2 81 GPF) <br /> (k) ONE WELLVOLUME(C x D) 2 GALL (2'e 2 0. 4'a 81, 8-a 18.2, e'-32 4 LPM) <br /> (F) VOLUMES TO BE PURGED ✓ <br /> (G) TOTAL VOLUME TO BE PURGED (E x F) ---► j <br /> PURGING INFORMATION <br /> PURGING METHOD BAILER U8.M <br /> CENT PUMP-OTHER <br /> DEVICE DESCRIPTIOlt <br /> PUMPIMLER INTAKE DEPTH TOP SOTTO -SCR8U WELL-WATER SURFACE <br /> PURGE WATER DISCHARGED-TREATED- T ONSIT STORED IN TANKS DRUMS NO <br /> IFIELD PARAMETERS MEASURED IN FLOW THRU CHAMBERPEN CONTAIN <br /> DEPTH PURGE TURBID FIELD MEASUREMENTS <br /> TIME TO 4tAn COMMENTS <br /> M) (GPM.LPM) -1TM [6 <br /> k700 )101 <br /> - jiol WO 240 <br /> 111;7,, 3 0o 2-0,3 <br /> tS 11V 14!5 7,3� <br /> JIM <br />• MTP-Temperature MCL-Calor MDO-DWaotved Oxygen M01 -DTW In Well <br /> MSC-Specific Conductance MPH-pH M01 -Other MD2-DTW In Well <br /> MPD-Photoionizer(e g.,HNu) MEH-Eh M02-Other MD3-DTW in Well <br /> MFD-Flame ionizer(e g,OVA) MAL-Alladinity M03-Other MD4-DTW In Well <br /> COPYRIGHT 0 1891 by Roy F Weston.Inc. G=090 <br />