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I <br /> M GROUNDWATER PURGE AND SAMPLE FORM <br />' Project Name Exxon Well No V1 Date ,?'�q-cb <br />' ProfectNo 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 Multiplierfor Volume Purge Volume <br /> VOLUME (feet) (feet) — (feet) X Casing Diameter — <br /> .r (gal) (gal) <br /> CALCULATION 13 76 © 4 6 <br /> 0 16 0 64 1 44 <br /> PURGING DATA <br /> Purge Method Vacuum Truck Purge Depth Screen Purge Rate GPM <br /> Timer" <br /> "v Volume Purges(ga[) � ,t� f <br /> �.Temperature(O C) <br /> i <br /> 1 ca <br /> r <br />' Specific Conductivity(umhos) <br /> ' S <br /> `"Turbidity/Color ' ^; <br /> n t: s bad <br /> 1;casingVolumesRemoued s� b <br /> l b <br /> D`ewatered'; ,4 <br /> e <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled Approx Depth to Water During Sampling Feet <br /> Comments }UT ;KfYNPL'-�F-�_ <br /> ` �� � <14� ` ` "� ,,,, Volume �' y �= Shipped Under Cham <br /> Sample T Numbs roof Conlamer e. w} s�}6 Flied o Analysis' <br /> ��i s of Custody at A C z <br /> Number Containers s Type Mr Preservative mL or L Turbidity% Color, /N Method Comments <br /> V1 3 Voa HCL 40 mL Y TPH g HTEx <br /> MTBE <br /> V1 3 Voa HCL 40 mL Y 18260 MTBE <br /> Ital Purge Volume Gallons Disposal/ContalnmentMethod Trailer to Romic for disposal _ <br /> atherConditions ' <br /> 'Condition of Well Box and Casing at Time of Sampling yy1 <br /> Well Head Conditions Requiring Correction(locks,damaged casing or well box,etc) <br /> Problems Encountered During Purging and Sampling <br /> Comments <br /> FPROJECTSL73942hPUBLICISAMPL1NGlV1 PM5 <br />