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w — <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> tProtect Name Exxon Well No MW3 Date <br /> ProjectNo 51539421300 Personnel Chris Chatburn <br /> GAUGING DATA <br /> Water Level Measuring Method Interface Probe Measuring Point Description TOC <br /> Casing Total Req'd <br /> WELL Total Depth Depth to Water Water Column Multipllerfor Volume Purge Volume <br /> VOLUME (feet) _ (feet) (feet) X Casing Diameter (gal) (gal) <br /> CALCULATION <br /> ::2155 I�_ y� Ll u 2 4 6 <br /> 0 16 0 64 1 44 <br /> PlJRGIN <br /> G DATA <br /> Purge Method Vacuum Truck Purge Depth Screen Purge Rate �r GPM <br /> -Time <br /> Volume Purges(gal) O <br /> ht <br /> Tern peratbire(°C) D 110 <br /> 04 <br /> �s v <br /> 7557 <br /> 1 <br /> Specific Conductivity(umhos) Gl o q 0q3 <br /> Turbidity/Color , fit `f� <br /> H a ^ 5 e ay <br /> Odor�, ; b NCS �/D <br /> ,fc � ,-� a `� r"� <br /> f'�' 1� y� F ~� Y-4 � ' <br /> Casing Volumes lge61oved ' " p <br /> s <br /> ue ' <br /> Dewatered� <br /> Comments/Observations __ .fes_ l�Y►-rr� �,., f�a r/cs , i 6 f�'� f�5�x c �hd z'f �a.,, <br /> SAMPLINGDATA Time led Sam o_p A / <br /> Sampled _�� pprox Depth to Water During Sampling Feet <br /> Comments <br /> Volume r Shipped Under Chain s <br /> Sample Number of Container Filled of Custody at a°C Analysis <br /> Number,' Containers Type Preservative mL or L Turbidity Color ' r Method Comments <br /> MW3 3 Voa HCL 40M y TPH SSTEx <br /> L~ e(GL, MT8E <br /> MW3 3 Voa HCL 40 mL Y 18260 MTBE <br /> otalPurgeVolume Gallons Disposal/ContarnmentMethod _Trailer toRomlcfor disposal _ <br /> atherConditions Su <br /> ondition of Well Box and Casing at Time JfSampling C <br /> Well Head Conditions Requiring Correction(locks,damaged casing orwell box,etc) <br /> Problems Encountered Dunng Purging and Sampling D <br /> Comments <br /> F PROJECTS%739421PUBLICISAMPLINGIMW3 PM5 <br />