Laserfiche WebLink
GROUNDWATER PURGE AND SAMPLE FORM f <br /> t Project Name _ t / D <br /> / ate Well No 7- 15 -O) <br /> _ <br /> Project No �� �/- �SCI 0 ! <br />' Personnel <br /> GAUGING DATA <br /> Water Level Measuring Method "�-Q Measuring Point Description ��G <br /> WELL Totaf Depth Depth to Water Water Column Multiplierfor Casing Total Req'd <br />' VOLUME (feet) .. (feet) (feet) Casing Diameter Volume Purge Volume <br /> CALCULATION X ( al} _ (g <br /> n 2 6 -JI-R "f <br /> 6 0 64 1 A <br /> PURGING DATA <br /> Purge Method GVUrn f Yc�(�[ Depth Purge S C <br /> g p --- C/J Purge Rate <br /> ,,Volume Purges(gal) Wl <br /> r«,,Temperature(o i / <br /> 17 <br /> rpecrflcConducttvity(uin[•tos�,'��:'^, <br /> urbidlt•yfCoforl <br /> IS ��>� <br /> x� D0 <br /> Casing volu .&Removeel} w <br /> ti Dewati-red? ' - <br /> I <br /> Comments/Observations 1 <br /> E <br />' f <br /> f <br /> SAMPLING DATA Time Sampled t <br /> p Approx Depth to Water During Sampling <br /> Comments � <br /> r <br /> SampleNumber of Container Volume Shipped-Under Chain # <br /> Number Containers Type Preservative Felted Turbidr Of Custody at 4°C Analysis <br /> mL or L h Color N Method Comments, <br /> 1/©G� �I Gl Or,-L stv G ca&/ -r <br /> x rte' <br /> ta!Purge Volume �� �-Z,p E <br /> Disposal/ContainmentMethod Ta �4/yL t <br /> erConditions <br /> on of Well Box and Casing at'rime of Sampling D V— <br /> ead Conditions Requiring Correction(locks,damaged casing orwell box,etc) 1/'LQ <br /> p,blems Encountered During Purging and Sampling kk22I <br /> mments <br /> PRQJ TEMP POR,M&PURGEIOM ' <br /> r <br />