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GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name Exxon Well No V4 Date g' C� <br /> ProfectNo 5153942 1300 Personnel Chris Chatburn <br /> GAUGING DATA <br />' Water Level Measuring Method Interface Probe Measuring Point Description TOC <br /> WELL Total Depth Depth to Water Water Column Multiplierfor Casing Total Req'dVolume Purge Volume <br /> VOLUME (feet) (feet) (feet) X Casing Diameter (gal} _ (gal) <br /> CALCULATION — <br />' 0 16 0 64 Ll 44 <br /> PURGING DATA <br />' Purge Method Vacuum Truck Purge Depth Screen Purge Rate GPM <br /> .Time <br /> Volume Purges(gal) <br /> r <br /> v7emperature(°C) <br /> r.+E^ � maayys' yt' 4F = Kza <br /> Specific Conductivity(umhos)rl <br /> 'Casing VLL'o.1lu'mes Removed x:43 <br /> Comments/Observations ID Pry VJt , -} -s2-- <br /> SAMPLING DATA Time Sampled A Feet <br /> p pprox Depth to Water During Sampling <br /> Comments _ b- 3 P�' . C_4 16rf..CA ,za{ SCA--VU- <br /> e, ���x4Y;, ` : 1S`, �:: Volume �<;RFs ` ,�' s z: " sShr Under Cham ,- <br /> SampleNumtier of, 'Container Fw ' ruled NF `.�� o�Custody at 4°C' Analysis s` <br /> k Number '-Containers" z Type_ v Preservative mL or L Turbidity' x Color; w M t Method', Commeriis <br /> V4 3 Voa HCL 40 mL Y TAH g BTEX' <br /> MTBE <br /> V4 3 Voa HCL 40 mL Y 8260 MTBE <br /> tal Purge Volume Gallons Disposal/ContainmentMethod Trailer to Romlcfor disposal <br /> atherConditions <br /> 'Condition of Well Box and Casing at Time of Sampling <br /> Well Head Conditions Requiring Correction(locks,damaged casing orwell box,etc) t--> <br /> Problems Encountered During Purging and Sampling <br /> Comments <br /> F PROJECTSV3942\PUSLICISAMPLINGW4 PM5 <br />