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' a <br /> M' GROUNDWATER PURGE AND SAMPLE FSO,RIM <br /> Project Name x -' !j Wel1No �vV Date I- <br /> Protect No d �l- / / 0 Personnel r v <br /> i <br /> GAUGING DATA n L , <br /> iWater Level Measuring Method �i; �'T_ CeepL Measuring Point Description �d <br /> Casing Tatal Req'd <br /> WELL Total Depth Depth to Water Water Column Multiplierfor Volume Purge Volume <br /> I VOLUME (feet) .. (feet) (feet) X Casing Diameter (gal) (gal <br /> CALCULATION — 2 6 ^y2 - toy <br /> Aja --7/1 <br /> 0 76 0 64 � 44 � � I <br /> PURGING DATA <br /> Purge Method U ! r'C.ZC�[ Purge Depth purge Rate I <br /> Time: i,JA (� p <br /> ri <br /> �,Vofume Purges(gal) > <br /> r Temperature+(°C) µ` ` �,� 2� �-- �3 6 2� . tp <br /> X Specific Conductivity(umhosj 1 (.0 <br /> (� —7 D <br /> ; r,rbFditcK Iyo <br /> LUL r L6( <br /> ,.h.�CfO«rr� .✓''rJF��Y��e��F > ��'�_•y,syA� +^`' <br /> •+`l1�`'�. -.( �^ s'rF" vfi��r..a �r. 1 " <br /> C sin Vofume Re aved00 <br /> D I <br /> Iw`Dewatered? <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled P Approx Depth to Water During Sampling E E, <br /> Comments <br /> I �Nu:m <br /> ple Number of Container volume Y Shipped Under Chain M <br /> berContainers `Type Preservative Filled " Turbrdr Cplor Y of Custody at 40C _ Analysis. , { <br /> mi_or L ty MINa Method ti Comments-f <br /> ca-c,,- Y7 <br /> n � <br /> fTotal Purge Volume Dlsposal/ContainmentMethod Tp <br /> eatherCondibons E UYI <br /> ondition of Well Box and Casing at Tim of Sampling D �-- <br /> Well Head Conditions Requiring Correction(locks,damaged casing orwell box,etc)�Iw P's i t <br /> Problems Encountered During Purging and Sampling rYV <br /> Comments <br /> PW PRQI TEMP FORMSPVRGE1096 <br />