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4 f <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> Protect Name Exxon Well No MW11 <br /> Date <br /> rotectNo 51539421300 Personnel ChrisChatburn <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 Multlplierfor Volume Purge Volume <br /> VOLUME (feet) _ (feet) (feet) X Casing Diameter (gal) _ (gal) <br /> CALCULATION 4390 1R q y L� P 2 4 6 q <br /> 3 � �p 0 1 fi 0 64 1 44 <br /> PURGING DATA <br /> Purge Method Vacuum Truck Purge Depth Screen Purge Rate GPM <br /> t <br /> Time <br /> x ti Purges <br /> Volume Purges(gal) t0 <br /> �'�s ,,K :, a, <br /> Teiriperature(° J <br /> Specrflc C1.onductivity{umbos} I, l c/3 <br /> 1'41!�urbldi4 Color-,, ',-!' <br /> Odor r = /✓ /4 fiJ <br /> ~ <br /> CasingVplumesRemo`ved t C? 3 <br /> 9 �> <br /> " Dewatered? x rn �,/ 1 f /Y (/ <br /> Comments/Observations <br /> I <br /> SAMPLING DATA Time Sampled 12.,y Approx Depth to Water During Sampling Feet <br /> Comments <br /> Shipped Under Chain <br /> Sample, Number of Container Volume <br /> ede r o1 Custody at 4°C Analysis <br /> Numberm Contalnerss Type Preservative mL or L Turbidity Color , YEN Method Comments <br /> MW11 3 Voa HCL 40 mL Lay- Y MTBE BTEx <br /> MW11 3 Voa HCL 40 mL J Y szso Mree <br /> T talPurgeVolume 4 �� GallonS Disposal/Containment Method Trailer to Romic for disposal <br /> therConditions U .r'r <br /> T <br /> of Well Box and Casing atTirlrie of Sampling n t— <br /> Well Head Conditions Requiring Correction(locks,damaged casing or well box,etc ) ►^ <br /> Problems Encountered During Purging and Sampling !I <br /> Comment <br /> Comments <br /> FPROJECT55739421PUBLIC1sAMPLING�MWtt PM5 <br />