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GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Namefmon Well No MW5 Date sZ •�*� <br /> Project Noa150137.1300 Personnel Chns Chatburn <br /> GAUGING DATA <br /> Water Level Measuring MethodMterface Probe Measunng Point DescnptrorTCC <br /> Casing Total Req'd <br /> WELL Total Depth Depth to Water Water Column Murdplierfor Volume Purge Volume <br /> VOLUME (feet) w (feet) (feet) X Casing Diameter (g� _ (gal) <br /> CALCULATION 2 4 fi <br /> G L . U7 <br /> ' C,, a r v y 0 16 064 144 1 ,7,� <br /> PURGING DATA <br /> Purge Method Vacuum Truck Purge Depth Screen Purge Rate N, y GPM <br /> Time ��tjf� It%rJ 7 <br /> Volume Purges(gel) <br /> Temperature(°C) 17. e) 17 Z I Lf • . <br /> pH ,off -7 <br /> Specific Conductivity(umhos) <br /> Turbidity/Cour a <br /> Odor IV <br /> Casing Volumes Removed CJ( tJ Z 3 o 3 <br /> Y <br /> Dewatered? AJ <br /> ^/ <br /> Comments / Observations <br /> SAMPLING DATA Time Sampled w Ll;) Approx Depth to Water During Sampling ,}�] Feet <br /> Comments <br /> Volume Shipped Under Chain k , <br /> Sample Number of Container Filled of Custody at 40C Analysis <br /> Number Containers Type Preservatnre rr.or Turtmdity Color Method Comments <br /> MW5 3 Voa HCL 40 mL te_)v r C u,,j Y MTBE <br /> Total Purge Volume i U, Gallons Disposal/Containment MethodTraller to Romic <br /> ether Conditions I <br /> ndition of Well Box and Casing at Time of Sampling 01k— <br /> Well <br /> 1k- r r <br /> Well Head Conditions Requiring Correction(locks,damaged casing or well box,etc) d U <br /> Problems Encountered During Purging and Sampling .fry,_,-_ <br /> Comments <br /> R PRo,iECTS�70197►PUSUC%SAMPUNG%MW&PM5 <br />