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GEOUS.Well Purging Form <br /> SIU ,; <br /> COMPANY SAMPLE No <br /> CLIENT _ OATE. <br /> PRWECT �� �_� SAMPLER f j <br /> SITE. `- i C_ 1 SIGNATURE <br /> - WELL OBSERVATIONS <br />' WELL CASING AND UD,d1+.TAGT=DAMAGED-MOVED-NONE LOCKED { ES NO KEY NO <br /> WI=LLDIAMETER 2'(!V-.8'.W-OTHER STICKUP HEIGHT FT-M <br />' MEASURING POINT TIC(F GRS-OTH TOC.TIC DIFFERENCE IN-CM <br /> VAPOR READINGS PID•FID DEVICE <br /> BACKGROUND INSIDE WELL CASING <br /> NAPL LAYER OBSERVED FLT-SN ON SAMPLED YES-NO THICKNESS IN-CM <br />' PUR ING CALCULATIONS <br /> (A) DEPTH TO WELL BOTTOM 4q , o M MEASURED• OORDED PREV[OIJ,S <br /> (B) DEPTH TO WATER. S U �r M TIME MEASURED 4;2 -_3 <br /> (C) WATER COLUMN HEIGHT(A-B) � ` FT-M yy� rn <br /> Factor=4041 (Well Diaetar minchsey2 <br /> (D} WELL DIAMETER FACTOR f,' ` •-� G M (2'a 018, 4'a 0 6i' . 8'- 1 47, 8'=2 61 GPF) <br /> (E) ONE WELLVOLUME(C x D) f 5 (S'¢2 0, 4' -a t. G* 18.2, 8'=s2 4 LFM) <br /> (F) VOLUMES TO BE PURGED. <br /> (G) TOTAL VOLUME TO BE PURGED (E x F) ---� <br /> PURGING INFORMATION <br /> PURGING METHOD BAILE -SUB PU -C PUMP-OTHER. <br /> DEVICE DESCRIPTION <br /> PUMP/BAILER INTAKE DEPTH T -BOTTOM -WATER SURFA <br /> PURGE WATER DISCHARGED-TDORED .,, <br /> STORED I TAN •DRUMS NO <br /> FIELD PARAMETERS MEASURED IN FLOW THRU CHAMBER OPEN CONTAIN <br /> DEPTH PURGE TURBID FIELD MEASUREMENTS <br /> TIME TOS COMMENTS <br /> WATER <br /> (GPM_LpW 4Tr cd 4 T it, <br /> zea <br /> t 511200 Z 20 <br /> 120 d /;.a <br /> X23 lm,9 ,7 z <br /> T7 <br /> F <br /> EMELD C0M <br />• MTP-Temperature MCL-Color MOO-Dissolved Oxygen M01 -DTW in Well <br /> MSC-Spedflc Conductance MPH-pH M01-Other MD2-DTW In Well <br /> MPD-PhoWonlzer(e g.HNu) MEH-Eh M02-Other, MD3-OTW In Well <br /> MFD-Flame Ionizer (e g,OVA) MAL-Alkalinity M03.Other MD4-DTW in Well <br /> COPYRIGHT C 1891 byr"F W000n,Im G071093 <br />