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w GROUNDWATER PURGE AND SAMPLE FORM <br /> Protect Name Exxon Well No lW1 Date_ ff'-Ip_c <br />` ProjectNo 5153942 1300 Personnel Chris Chatburn <br /> GAUGING DATA <br /> Water Level Measuring Method Interface Probe Measuring Pont Description TOC <br /> Casing Total Req'd <br /> WELL Total Depth Depth to Water Water Column Muitipllerfor Volume Purge Volume <br /> VOLUME (feet) (feet) — (feet) X Casing Diameter (gal) _ (gal) <br /> CALCULATION <br /> 4710 r 2 4 6 <br /> 0 16 0 64 11 44 <br /> PURGINGDATA <br /> IPurge Method Vacuum Truck Purge Depth Screen Purge Rate y GPM <br /> Timey�-0 �� O <br /> Volume Purges(gal) £; s- <br /> Temperature`(°C)pH <br /> (7 "! t (O 7-7 1 <br /> Specific Conductivity(umhos) :1 <br /> tYx <br /> Turbldi /Colon_ s '� <br /> °"'¢ �, <br /> ^Casing Voftames Removed <br /> a�Dewatered' - <br /> I v tJ 0 tj � k" <br /> e <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled �~ Approx Depth to Water During Sampling _ Iv Feet <br /> Comments <br /> Sample— Number of Container i� �; j Volume ; ? 's�w Shipped Under Chan <br /> z„Filed r of Custody at OC s 'Analysis <br /> Number Containers 4 Type Preservative' Y mL or L " Turbidity Color IN - Method Comments <br /> IW1 3 Voa HCL 40 mL Y TPH 1 eTEx <br /> l�r-� (2rf MTae <br /> lW1 3 Voa HCL 40 mLY 9260 MTBE <br /> tal Purge Volume Gallons Disposal/Contain men t Method Trailer to Romic for disposal <br /> ether Conditions sen <br /> ondition of Well Box and Casing at ime of Sampling O <br /> Well Head Conditions Requiring Correction(locks,dam ged casing orwell box,etc) PED <br /> Problems Encountered During Purging and Sampling <br /> Comments ^' - <br /> FPROJECTSL739a21PUBLIC1SAMPLING1IW1 PM5 <br />