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GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name:F=on Well No MW6 Date_4- z2cy� j <br /> Project No51 50137 1300 Personnel Chris Chatbum <br /> GAUGING DATA <br /> Water Level Measuring Methocknterface Probe Measuring Point DescriptionTOC <br /> Total De h De th to Water Water Column Mule Derfor CasingVTotafWELL p p VolumeVOLUME (feet) (feet) _ (feet) X Casing Diameter (9�CALCULAT1ON <br /> L >7 3 70?6 064 144 19. <br /> PURGING DATA <br /> Purge MethodVacuum Truck Purge Depth Screen Purge Rate `-' ' 4 GPM <br /> Time <br /> Volume Purges(gal) <br /> Temperature(°C) L 5 i7_ v <br /> SpecificConductivity(umhos) '�jsC>-( ,S,j 0 1 9-7 , 3 <br /> Turbidity/Color t�'�` s✓t{ 4;� �, ��"� 4;f �"� G+ <br /> Odor <br /> Casing Volumes Removed (� `, c.? u w ' C7 -7 <br /> Dewatered? <br /> Comments / Observations <br /> SAMPLING DATA Time Sampled Approx. Depth to Water During Sampling Feet <br /> Comments <br /> Volume Shipped Linder Chain <br /> Semple Number of Container Filled of Custody at 4°C Analysis t <br /> Number Containers Type Preservative mL er Turbidity Color Method Comments <br /> BTIZ <br /> MWB 3 Voa HCL 40 mL 4>,,.� LLQ�r Y TPHMTSE <br /> eather <br /> PurgeVolumeConditionsltlon of Well Box and Casing at Time of Sampling C <br /> Well Head Condittons Requiring Correction(locks,damaged casing or well box,etc) -� <br /> Problems Encountered During Purging and Sampling AJC <br /> Comments <br /> F MoJECTS1701zn UBLicw"PuNa%Mwe Pus <br />