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GEOUS Well Purging Form <br /> CoMPuff su�E n,Q —� <br /> CLIENT -A SIA DATE G '�` <br /> PAo.lecT s � ` <br /> SIGNATUFF- .. <br /> WELL OBSERVATIONS <br /> PROTEGEIVE CASING. INTACT-DAMAGED-NONE LOCKM. YES-NO LEY NO, <br /> WELL DLOASEMfr 2-a-a--a--OTHM- STICICUP HEIGHT. FT-M <br /> MEASTOC-L ND-OTH: Too.TIC DFfffd34M IN-CM <br /> VAPOR REA= DEVICE. <br /> INS<DE WELL CASING. <br /> NAPL LAYER OWA RVM FLT-SW-NON SAMPLED: YES.NO TMCIOMMS. 04-CM <br /> PURGING CALCULATIONS <br /> W DEPTH TO WELL BOTTOM: /_ o 9 o f:T-M MEASURED-RECORDED PREVIOUSLY <br /> (B) DEPTH TO WATER; �1 - S_ FT.M TIME MEASURED <br /> (C) WATER COLLWM HE kff(A.B) 3 •/ FT-14 <br /> (D) WELL DIAMETER FACTOR. �-5- Well Falx_C.041 ����in�'�: <br /> GPF L.PM (7--0.1 a: 4•-o a5, d-*- i A7. r-2.a1 GPF) <br /> (E) ONE WELL VOLUME(C x D) ;y a- GAL,-L (2'-2 0. 4•-0.1. 0'-7 az s--a2.4 LP" <br /> (F) VOLUMM To BE Pubo- 3 <br /> (G) TOTAL VOLUME TO BE PURGED (E x F)• ---------- <br /> PURGING INFORMATION <br /> WELLPURGING METHOD• BAILFA-SL IME PUMP-CENTRIFUGAL PUMP-OTHEFL <br /> DEVICE DESCAIPno k <br /> PURGE WATER DISPOSITION: DISCHARGED ONSITE COLLECTED AND; SrTORI=D-DISPOSED ONSITE-OFFSITE <br /> COLLECTEDIN: TANKS-DRUMS HUMBIM O1CONTAINERS <br /> DEPTH PURGE FIELD MEASUREMENTS <br /> TIME TO IME <br /> WATER 4 Y COMMENTS <br /> IV IOU I w <br /> A <br /> Ui <br /> a 60 <br /> 4 <br /> � �T�U�}T X now. <br /> ^�- <br /> COPYgtC�F{T <br /> 0%W by Roy F Mhstom kv- G0712StT <br />