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f Date: 3-29-11 <br /> GROUNDVV�...ER PURGE AND SAMPLE FOR, cont.) <br /> ""' PROJECTNAME:_ Ex.Yr e 7� 1IDSn_. WELL NUMBER: /�W eF' <br /> kk PROJECT NUMBS' _._ /D Zv��' /�/ PERSONNEL: st a1S 7—A7 - I f la-- <br /> i` <br /> SAMPLE DATA, <br /> TIME SAMPLED:. z' Z S --- <br /> DEPTH SAMPLED(ft): <br /> SAMPLING EQUIPMENT: <br /> COMMENTS: <br /> SIOPPEDUNDER <br /> 'SxIPLE .N0.OF .CONTAINER' RFen - <br /> PR <br /> No. TAF.ERVATIYE RLiHAiIOH � � TUNl11[Mir COLOR CIWNOF GUSi00Y TPEal1E."i t �'SCOrd4rENT5$$�4.z y�- . <br /> . . CONINERS <br /> IYPC ') v t •, ,n:.i Iia T1 AI I;C(YIFry ;r...':ILfE7i4DD)... Ew...w SsH'.f:• ``.`.• io <br /> >ko fkec� &011' <br /> F'I PURGE WATER DISPOSAL NOTES: <br /> 11 TOTAL DISCHARGE(gal): <br /> DISPOSAL METHOD: S_ Gd I L>1'iir+l <br /> DRUM DESIGNATION(S)IVOLUME_ 2, <br /> COMMENTS: <br /> WZL-BEAD CONDITIONS CHECKLIST(Circle YES or NO--i1 NO,add comments) <br /> WELL SECURITY DEVICES OK(BOLLARDS,CHRIS-fY LID,CAS--NG LID AND LOCK)?: NO <br /> INSIDE OF WELLHEAD AOUTER CASING DRY?: YES <br /> WELL CASING OI;?: NO <br /> COMMENTS:__ d <br /> GENERAL <br /> WEATHER CONDITIONS: G S U <br /> T,11.1QERATURE(specify*crF): <br /> PROol.EMS ENCOUNTERED DURING PURGING OR SAMPLING? <br /> COMMENTS: <br /> c.c. Project Manager: -- <br /> - Job File: <br /> Other. _ <br /> j <br />