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SAMPLE <br /> En mna Inc- GROUNDWATER PURGE AND `a �2 <br />' Protect Name EXXON 7-3942 Well No Date <br /> ro}ect No TM39421 -- Personnel <br /> fGAUGING DATA <br /> Water Level Measuring Metho WLM IP PB BE <br /> �. N �c_ �•a '*��'^� ��:�- �'„�`x- »��,� x 3��' ^A�„�N�3'�v�S;s �'"�=:cr Sc�`§ ^.""'a ted"� � �G1't�l�� ted. <br /> ���` "'_ 'TttE�.� ��" �y �i �a. �� § 'Slr➢ � �teT� q� E � � ,�,r �. ��,�``,w`... <br /> A-. � � t? ""�'���� =tii.��+.v" ��'���r7�✓�G �� �]w'',.Q� 4'�� s•='"a�i � 1���A� x"� �`�^,.=yf�a ,nw ..�- E-_ a�;. �...i'�..s `� <br /> 004 o is o sa t as <br /> PURGING DATA PURGE RATE GPM <br /> Purge Method WATERRA <br /> Qkr <br /> Comments/Observbatfons <br /> Time Sampled <br /> gy�pp}} Approximate Depth to Water During Sampling 2 Meet) <br />' � V� � <br /> Comments E RK, 1t� I I d Evf' + �r� 11 <br /> t�11e <br /> Voa HCL 40 ml <br /> '-� % (gallons) Disposal System <br /> Total Purge Volume f BOLTS N <br /> Weather Conditions \ <br /> Condition of Well Box and Casing at Time of Sampling CAP&LOCK��' i �, GROUT Yi / N <br /> Well Head Conditions Requiring Correction J WELL BOX <br />' Problems Encountered During Purging and Sampling /1 <br /> SECURED Y ,1 N <br /> o ents`�� <br />� �j Qg$pcS1DF¢p�n1d�RFPF�C�IPu�Imm ilcl4metl <br />