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r <br /> GROUNDWATER PURGE AND SAMPLE FORDate: <br /> M (cont} <br /> PROJECTNAME:_l a'm/her SA•t`f� <br /> WELL NUMBER: % <br /> l0JECT NUMBER:_ ± 6-&. _ <br /> /( <br /> PERSONNEL: <br /> SAMPLE DATA: <br /> TIMESAMPLED• <br /> DEPTH SAMPLED(a): D 1$1-1 <br /> SAMPLING EQUIPMENT: <br /> COMMENTS: <br /> - <br /> M'`+AY, ..�-Nvy #, Tl'1'E-.ke'7 V[ far, *' a>c3a,P{.£,. - 'b, b ty,SlifY•[pU <br /> RlT7i.lT70H � ��}� YUR(11�Y CbLIX1 ltaCq��c `�;b?�tNALY'Stt +' .rx x, <br /> �,.t r��t�'' �•.�.. <br /> VPAI <br /> fem <br /> i <br /> PURGE WATER DISPOSAL NOTES: <br /> NOTAL DISCHARGE=(gal) <br /> y, <br /> + DISPOSAf_METHOD: <br /> DRUM DESIGNATfON(S')NOLUME: <br /> COMMENTS: b <br /> t'IIELL fiEAD CONDITIONS CfiECY.UST(Circle yES or NO d NO.add�rruacnts <br /> WELL SECURRY AEVICES OK(BOLARpS.CI{RISTY Li CASING LIG AND LOCK)?:INSIDE OF WELL <br /> HEAD AND O[lTE(?CASING DRY?; -� . � � NO <br /> WPIC CASING OECD: - - - - - <br /> NO <br /> NO <br /> COMMENTS: <br /> _ �_ <br /> GENERAL. .. <br /> WEATHER CONDMONS: <br /> TEMPERATURE(specify 9(,r . <br /> �. <br /> ENCOUNTERED DURING PURGINGOR SAMpLifVG7 <br /> COMMENTS: <br /> j <br /> Cc. Project Managar <br /> _ .fob Ade:��: <br />