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GROUNDWATER PURGE AND SAMPLE FORM <br /> Project NameEXKOn Well No MW4 Date <br /> Project No51501371300 Personnel Chns Chatbum <br /> GAUGING DATA <br /> Water Level Measuring Methodknterface Probe Measuring Point DescnptiorTOC <br /> Casing Total Req'd <br /> WELL Total Depth bDepthtoWater Water Column Multipilerfor Volume PurgeVolume <br /> VOLUME (feet) eet) (feet) X Casing Diameter (g� (g�) <br /> CALCULA-ngV 2 4 r5i . to0 Ip I� y� ,, :!t1 <br /> a 1 s 064 144 <br /> PURGING DATA <br /> Purge Method Vacuum Truck Purge Depth Screen Purge Rate �' ' 4GPM <br /> Time /0,57 f 10". 11u -7 <br /> Volume Purges(gal) j q Fj <br /> Temperature(°C) `' 1 1 1 0 <br /> pH . q q 'Z <br /> Specific Conductivity(umbos) <br /> Turbidity/Color <br /> Odor PI/ v <br /> Casing Volumes Removed <br /> Dewatered? 1U A/ <br /> Comments / Observations <br /> SAMPLING DATA Time Sampled l7 Approx Depth to Water During Sampling f)$ Feet <br /> Comments <br /> volume Shipped under Chain k , <br /> Sample Number of Container Filled of Custody at 4°C Analysis <br /> Number Containers Type Preservative ML or Q Turbidity Color Method Comments <br /> MW4 3 Voa HCL 40 mL (�� Y MTBE <br /> Onadition <br /> lPurgeVolumetherConditions <br /> of Well Box and Casing at Time of Sampling Lr!�- T .. <br /> Well Head Conditions Requiring Correction(locks,damaged casing or well box.etc)�c 42 . <br /> Problems Encountered During Purging and Sampling 4 LJ _ <br /> Comments <br /> F Pr;WECTs1?oi3rPisUC%SAYPUNt3%Mw4 pus <br />