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1 <br /> WELL PURGING AND SAMPLING DATA <br /> Date: /- 0-9' Project Number: 4 - G� ' Project Name: <br />' Well Number:AG- Boring Diameter: ��� casing Diameter: � <br />' Column of Fluid in Well Volume td7be Removed <br /> depth to product gal per ft Annular Space = <br />' column of water X <br /> depth to water � volume of annular space <br /> gal per ft of casing = <br /> total depth of well '7 5 column of water X <br />' volume of casing <br /> column of product total volume -- <br /> number of vol to remove X <br /> GrG(� column of water 6S5 total vol to remove :7� <br /> method of measuring fluid r i'/ C- <br />' method of purging well G/' m df`res rate <br /> method of decon e x ¢ <br />' Physical appearance of water (clarity, color, particulates, odor) <br /> Initial10 � Ali � <br /> During C <br />' Final <br /> Field Analysis Initial During Final <br />' time , r-W(P rzo _r20 r'Zb_2: <br /> conductivity �� • Z� �� a <br /> pH _ <br /> t <br /> temperaure <br /> � �a as r7 <br /> method of measurement <br /> 1 Total volume purged r Comments <br /> Sample Number zimount. of Sample <br />' Signed/Sampler Date /rte <br /> MSigned/Reviewer Date <br /> �Ip' <br />