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GROUNDWATER PURGE AND SAMPLE FORM <br /> ProlectName l=xX31n WelINO _r'►�'� Date 'il2ils-1 <br /> ProlectNo 5f5 at3--) )3 oQ Personnel R <br />' GAUGING DATA <br />' Water Level Measuring Method Measuring Point Description . _70C <br /> Casing Total Req`d <br /> WELL Total Depth Deptt to Water Water Column Multiplierfor volume Purge Volume <br /> VOLUME (feet) (fey-+) (feet) Casing Diameter (gat) ts <br /> gal) <br /> CALCULATION <br /> 2 4 5 <br /> �I 12 30 �lg 2 Q 2 y p 1 6 Q 64 ] 44 1 `l I 1!-! <br /> PURGING DATA <br />' Purge Method 1(or.vur %_7rjc-k Purge Depth 5Cr¢an Purge Rate 5 1 qP-1 <br /> .Time, <br /> Volume Purges(gal) <br /> Temperature(°C) 2? 3 92 1 <br /> PH <br /> Specr[ic Conductivity(umhos). I z(fCo <br /> 123 Z 1 i 3Co O 13 53 <br /> --Turbidity{ColorsPC <br />' odor <br /> K•Y w <br /> Casing �.• I c.7?.�^�L�T'}.Y�•^ <br /> Volumes <br /> ewa <br />' I T w r <br /> s � <br />' Comments/Observations <br /> SAMPLINGDATA Time Sampled CA_ K u Approx Depth to Water During Sampling 32 <br /> Comments <br /> Volume Snipped Under Chain <br /> sample Number of Container Filled of Custody at 4°G Analysis <br /> Number Containers Typo Preservadve mL or L Turbidity Color /N Method Comments <br /> 1 voo• We 1 HUey-L <br /> talPurgeVolume 50 Disposal/Containment Method <br /> eather Conditions n <br /> Condition of Well Box and Casing at dime of Sampling C 1{ <br /> Well Head Conditions Requiring Correction(locks,damaged casing or well box,etc) <br /> Problems Encountered During Purging and Sampling tj <br /> ' Comments <br /> PM3PR0JT6VPF0PWSPVRGE'0X <br /> 9E/TT 8 vsezze?_OTST I59M U 957 S'T !r,F,T—t�,T—rlrH <br />