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GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name Exar�� _ WellNo rnw(/ Date -'(xrjg- <br /> ProjectNo 5f5013', 1300 V Personnel - R <br /> GAUGING DATA <br /> Water Level Measuring Method fir+ 6 Q Measuring Point Description To C <br /> Casing Total Reg'd <br /> WELL Total Depth Depth w Water Water Column IV <br /> Volume Purge Volume <br />' <br /> VOLUME (feet) (feet) (feet) X Casing Diameter <br /> CALCULATION (gal) (gal) <br /> 2 4 6 <br />' 5t4 q0 2q —I Co 75 1'-I 0 16 0 64 1 44 E() U q uQ 2"1 <br /> PURGING DATA <br />' Purge Methodyacuur.-,`T'r�c-k Purge Depth S&rkdn Purge Rate 5 3 <br /> Time, �,y �,;.;,I%rz' U5s 3 <br /> Volume Purges(gal) O I QQ 32 <br /> x <br /> -Temperature(°C)',Ac$�+�5 27 2i 1 2l 2 1 Z <br /> pH <br /> 0,4 <br /> 11111 -�SQ;:dlc Conducttvdy(�i hos) a cat F51=1. S(.0 Z q y S <br /> Turl7iciiry/Color ;� v? 1 I Z)" <br /> Odortn>,<�'"�- <br /> Casing Vol Imes remove ',w ' Y�Y I Z -3 <br /> .. <br />' Comments/Observations <br /> SAMPLING DATA Time Sampled 04 `I`( Approx Depth to Water During Sampling 3 y <br /> Comments <br /> Volume shipped Under Chain <br /> sample Number of Container filled of Custody at 1°C Analysts <br /> Number Containers Type Preservative mL or L Turbid.ty Color [Y/N1 Method Comments <br /> M�f� voa <br /> 1-4c t tu,,,.t_ to-J cc 0,- _9 <br />' 1 f�.> > <br /> tai purge Volume �-F Disposal/Containment � r ar r_�c___ <br /> rwConditions <br /> Wc=tton of Well Box and Casing at imeofSampling O kell Head Conditions Requiring Correction(locks,damaged casing orwell box etc ) <br /> Problems Encountered During Purging and Sampling <br />' Comments <br /> PM5 PA0J TEMP FORMS PugGEto% <br /> 9p/RGI rl trRC"S'P7PTCT Cc- CT IG,GT—t7T_nnP <br />