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G% <br /> GROUNDWATER PURGE <br />' ���^� AND SAMPLE FORM <br /> /� <br /> Project Name �C J Well No (~W t(/ Date <br /> Project No 115_15_1_01- � / �U Personnel rl e <br /> I <br /> GAUGING DATA �` <br /> Water Level Measuring Method Z 72/� 9c_O Measuring Point Description �U G <br /> Casing Total Req'd <br /> WELL Total Depth Depth to Water Water Column Multipherfor Volume Purge Volume <br /> VOLUME (feet) (feet) _ (feet) X Casing Diameter (gal). _ (gal) <br /> CALCULATION — C�O U l <br /> 51490 ��•r-7 •h( X73 2 6 d �9 <br /> PURGING DATA <br /> Purge Method rn, .,. rc�LCIC Purge Depth S Citi purge Rate G <br /> Time M -�'� • 0 0 <br /> r'l/olume Pu"rges(gal) (p <br /> ~-Temperature(°C1 'L-E4 <br /> /-6 01 V <br /> Spec>flc Conductivity D <br /> rR► r thj] �✓ _ �Yti] <br /> f� <br /> tlL1 _r G( (L <br /> �J rJ - <br /> r. <br /> � Casmg VolumesRemoved <br /> ~ watered? *�° '', ' !�1 <br /> De <br /> i�+�4/xb�A <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled —l��U _ <br /> P Approx Depth to Water During Sampling _d"�_ F77 <br /> Comments <br /> Sample Volume shipped Under Chain <br /> Nu <br /> ue Number Containers <br /> Container Filled of Custody a(4°C Analysis <br /> Number Containers Type Preservative mL or L Turbidity Color �NI Method comments <br /> rKY V©c- cLe0i <br /> Total Purge Volume Disposal/Containment Method <br /> eatherConditionsPClVV -- <br /> onditlonofWell Box and Casing atTlmeofSampling <br /> Well Head Conditions Requinng Correction(locks,dams ed casing orwell box,etc) <br /> Problems Encountered During Purging and Sampling <br /> Comments <br /> PvR9 PROD TEMP FORM&PURGE1696 <br />