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GROUNDWATER PURGE AND SAMPLE FORM <br /> Project NameFocon Well No VEW2 Date <br /> Project No5150137 1300 Personnel Chns Chatbum <br /> GAUGING DATA <br /> Water Leel Measuring Methodknterface Probe Measuring Point DescriptiorTOC <br /> WELLTotal De h De th to Water Water Column Mullierfor Casing Total Req'd <br /> VOLUME (feet) p (feet) _ (feet) J04" <br /> CasinDiameter V(g� PurgeVolume <br /> CALCULATION r■ 6 (gamd 7v G' `'7 7 7 3144 <br /> PURGING DATA <br /> Purge Method Vacuum Truck Purge Depth Screen Purge Rate �� GPM <br /> Time e-1 <br /> Volume Purges(gal) [� I L <br /> Temperature(°C) 14 <br /> pH <br /> SpecxficConductivity(umhos) <br /> TurbidrtylColor <br /> Odor <br /> Casing Volumes Removed <br /> Dewatered? N <br /> Comments / Observations <br /> SAMPLING DATA Time Sampled Approx Depth to Water During Sampling Peet <br /> Comments <br /> Volume Stupped Under Chem t <br /> Sample Number of Container Filled ai C*tody at 4°C Analysis <br /> Number Containers Type Preservative mL or Turbidity Color Method Comments <br /> VE±1N2 3 Voa HCL 40 mL Y Mree <br /> Total Purge Volume Gallons Disposal/Containment MethodTrader to Romic <br /> Bather Conditions 0- <br /> ndltion of Well Box and Casing at Time of Sampling 6 k= <br /> Well Head Conditions Requiring Correction(locks,damaged casing or well box,etc) A:,14> _ <br /> problems Encountered During Purging and Sampling ..3 U <br /> Comments <br /> F PR0.iECM70197Ml3UC4"PLtWVEN2.PM3 <br />