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lit <br /> A <br /> GROUNDWATER PURGE AND SAMPLE FORM (cont) at©' <br /> FROJE,T NAME: <br /> WELL NUMBER: <br /> r A vv <br /> PRoSEcrNUMSER: f r,�� f PERSONNEL: SD fr H <br /> SAMPLE DATA: <br /> TIME SAMPLE]' <br /> DEPTH SAMPLED(h): _ <br /> SAMPLING MUfPM Y: G{' b'AL (Ail <br /> COMMENTS: _ V!_e— . <br /> �ysR of r'�`oorrrASKA RYPKSCAtl6 ;se.r n urmcn tt s <br /> RCcuP m. ll' < <br /> to <br /> too 80 14 <br /> E PURGE WATER DISPOSAL NOTES: <br /> TOTAL DISCHMGE{gaq <br /> DISPOSALMETFWD: l.'�-c <br /> DRUM DESIGNATION(S)NOLUME: c i fCt t s r g <br /> COM ENTS: ` <br /> ,s <br /> WELL HEAD.CONiDMONS CHECKLIST(Circle YES or NO—if NO.add ooMfMntS) <br /> WELLSECURITY DEVICES OK'(BOLLARDS,CHRISTY LID CASING LID AND LOCK)?: YES <br /> INSIDE OF WELL HEAD D OUTER CASING DRY?: ES NO <br /> .WELL CASING OK?:': NO . <br /> "COMMENTS: i c �✓ _ <br /> t <br /> GENERAL• <br /> r <br /> WEATHER CONDITIONS: 3 ,,i�ca <br /> TEMPERATURE(sped(y'Cl°Fl:_— <br /> PROBLEMS ENCOUNTERED DURING PURCaINC.C)R SAMPLING? �:rPs ^�z � <br /> O� <br /> COMMENTS: i _. ..,._ <br /> cc. Peojed Manager. <br /> p. Job File: <br />