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ID <br /> GROUNDWATER P <br /> URGE AND SAMPLE FORM <br />' Project Name ''�✓' / Well No LvV Date <br /> . Project No D <br /> -- Personnel <br />' GAUGING DATA <br />' Water Level Measuring Method Ir,7'L1QrfaC e.' e Measuring Point Descrrp#ion U <br /> WELL Total Depth Depth to Water Water Column Multiplierfor Casing Total Req'd <br /> I VOLUME (feet) (feet) (feet) Casing Diameter Volume Purge Volume <br /> CALCULATION X (gal) (gal) <br /> 2r1, C,,�, 2 4 6 <br /> 0 16 0 64 144 <br />' PURGING DATA <br /> Purge Method _Y�GU�-/ f ��� Purge Depth Purge Rate Ld <br /> Time Y r � /J� 2 L7 <br /> Volume Purges(gal) <br /> f <br /> �9Temperature(°C)' ixs' L a <br /> U <br /> Specific Conductivity(umqos)M —:�f � � g�i q <br /> 15a <br /> _ � tTi' i�,.F.,y4J^�,*mss$ <br /> h Turbidity/Color C, y� `u� L L <br /> (Q 0- <br /> /,_r4 ti <br /> h Od4 r <br /> ..z` y t� rw"'•��. ,y'..rr'.�c^���1.�cry �� \ r� 1 <br /> Casing V <br /> �, oCumesRemoved ,`� L <br /> Dewatered? !JO <br /> Comments/Observations <br /> i <br /> SAMPLING DATA Time Sampled p Approx Depth to Water During Sampling 7 <br /> Comments <br /> I - Volume Shy ed <br /> Sample Number of Container pp Under Cham <br /> Number Containers Type Preservative Filled Turbidity of Custody at 4oC Analysis 3 <br /> mL or L tY Color /N Method r Comments <br /> r v0a <br /> I � <br /> ITotal Purge Volume Disposal/Containment Method TCS /P4 <br /> eather Conditions <br /> onditron of Well Box and Casing atTimeo Sampling <br /> Well Head Conditions Requiring Correction(locks,dams ed Casrng orwell box,etc} <br /> Problems Encountered Dunng Purging and Sampling <br /> f Comments <br /> PP.155 PROJ TEMP FCAms.PUFGr=7o96 <br />