Laserfiche WebLink
GROUNDWATER PURGE AND SAMPLE FORM <br /> 7Pr <br /> ct Name C xbN Well No /-.1"v; Date >131Q e <br />' ctNo U Personnel cf I�2r <br /> GAUGING DATA <br /> Water Level Measuring Method — Measuring Point DeSCrlptron 7-0_"' <br /> WELL Total Depth Depth to Water Water Column ytultroCasing Total Req'di,erfor Volume I Purge Volume <br /> VOLUME (feet) (feet} (Teet} Casing Diame�er (gat) _ (gal) <br /> CALCULATION ` S� f 5� 2 I 6 n :H -- o5 4 <br /> 0 66 10 64 11 44 <br /> PURGING DATA <br /> Purge Methody GL-t-u nn i��-c�K Purge Depth SCIZsEE-e/V Purge Rate <br /> Time _ - `= _= I ��II-A /1),// <br /> Volume Purges(gal)y <br /> J-Temperature <br /> __SpecrficConductivriy(Lmhos)�v. _ <br /> Turbidity/Color <br /> I C (C,-z I <br /> .Odor,-, T . �' *y I > <br /> hCasing Volumes Removed ~: <br />' Comments/Observations <br />' SAMPLING DATA Time Sampled D Approx Depth to Water During Sampling <br /> Comments <br /> Sample Number of Container volume Sh peed Under Chan <br /> Number Containers Type Preservative I Filled Turbid+ Color Or CL,sloly at 40C Analysis <br /> (mL or Ll (YIN) Meshod Comments <br /> -3 I IVDA I HCL 14 rn L— I ,�, I CQ--,C y r,� rm, rT.l <br /> I I I I I I I I I <br /> I I I <br /> otal Purge Volume 61qL-L-0`t SI Leg __T tt <br /> eatherCondit,ons rn <br /> Condition of Well Box and Casing atTime of Sampling U� <br /> Well Head Conditions Requiring Correction(locks damagedcasing orwell box eic)P -� <br /> Problems Encountered Dunng Purgingand Samp(,ng fyD <br /> Comments <br /> PWS PFIOJTEMP FORMS PURG'c10% <br />