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GROUNDWATER PURGE AND SAMPLE FORM <br /> R <br /> Project Name Exxz�ln_ _ Well No _mw L4Date -l[x 14q-) <br /> ._...rte <br /> ProtectNo 515013`-1 J30Q Personnel <br /> GAUGING DATA <br />' Water Level Measuring Method �"rt���-fin t o Measuring Point Description —1 C <br /> Casing Total Req d <br /> WELL Total Depth Depth to Water Water Column Muli,plierfor Volume Purge Volume <br /> VOLUME (fest) (feet) (feet) X Casing Diameter (gal) (gal) <br /> CALCULATION t.. 2 4 6 <br /> 5q U0 .52 5H 21 2 Co 0 16 064 144 I1 `t::) T5Z 3L) <br /> PURGING DATA <br />' Purge Method Nw_uur-,n_T'rQCk Purge Depth Craa/] Purge Rate 5 <br /> 'k" <br /> w r�sI-P�* t Oq 02- 00, 05 Oq CD-b Oq t2 <br /> Valurre Purges(gal)�� <br /> O 11 35 Z <br /> Temperature '4055 y;l ,5 2l (� Z) 3 ,Z f 3 X1 <br /> r..r,s? ,r�,e <br /> r l u <br /> % 05 s o$ C C)LI <br /> lr�y�5� � aye t <br /> u Specdtc Conductivity ; ^,,_ 1!:-5� <br /> t')urbidly I Color = syr~ �, 10•� E�••• 0 1 ow <br />' Odom' ., xk; , �h�_;r� rl� '- <br /> �'a�: � , �a1 <br /> -Cas,ng Vo(umesRe o ed 3 <br /> ~'Dewater`ed7-V`�' ;r �'� <br />' Comments/Observations <br />' SAMPLINGDATA Time Sampled OQ 1(r <br /> p Approx Depth to Water During Sampling 35 <br /> Comments <br /> Volume sNppea under Cnain <br /> Sample Number of Container Felted of Custody at d°C Analysis <br /> Number Contalners Type Preservatlae ml.or L Turaidlty Color /N Method Comments <br /> 3 v ou. wC 1 H Dee-R C>--i 9 <br /> rotalPurgeVolume ff2 Disposal/Containment Method <br /> eatherConditions v n <br /> Condition of Well Box and Casing atT me of Sampling <br /> Well Head Conditions Requiring Correction(locks,a Imaged casing or well box,etc ) <br /> Problems Encountered During Purging and Sampling ►J <br /> Comments <br /> PMSPAOITOAPFORMS PURGrE�tC St�7L <br /> 9Z/P T d t1rzOFLOO T 9 T I 1_;9r1 H9 C S S'T 1 Fr^T—t7T—CIrlH <br />