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- - <br /> Offil <br /> GROUNDWATER PURGE AND SAMPLE FORM (cont.) Data: / <br /> PROJECT NAME: /;11til f (C 'A! WEU.NUMBER: <br /> PROJECT NUMBER: O <19 . <br /> PERSONNEL: <br /> SAMPLE DATA: <br /> TIME SAMPLED- <br /> DEPTH <br /> AMPLED <br /> DEPTH SAMPLED <br /> SAMPLING EQUIPMENT.- <br /> COMMENTS: <br /> QUIPMENT: <br /> COMMENTS: <br /> t KA <br /> trzwai: oux > wxx�a nxa8b '� . Cf1HQFCtKto4i' � � <br /> :(..�R. <br /> PURGE WATER.DISPOSAL NOTES: <br /> ' TOTAL DISCHARGE(gaf): <br /> Ji DISPOSAL METHOD: - <br /> :1 DRUM DESIGNATIOlY(S)lifOLlJME: <br /> COMMENTS: <br /> WELL.BEAD CONRITIONS CHECKLIST(ClydeYES or NO--If NO,ad;i:� �rtments) <br /> WELL SECURITY DEVICES OK(BOLLARDS.CHRISTY <br /> 1NSIDI:dFY IN" LOC <br /> KI,?:OUTER CASING DRY7 __. OG UO AND,�O"K) YE<g <br /> WELL CASING nY?: .. NO - <br /> / � . <br /> __ _ .. _ <br /> COMMENTS: <br /> GENERAL <br /> ( 'WEATHER CoNpTrlolvS: <br /> TEMPERcATURF; <br /> PR'D4ir�l;C <br /> FNC4UNTERED DURING PURGING OR SAMPLING? <br /> E.. COMMENTS <br /> l ' <br /> : ' . c:G Pi+ojeri Manager. <br /> Job.F-Ie: <br /> Other. <br />