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GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name C�]Cb/� Well No r"Lt" Dae <br />' ProlectNa Personnel <br /> GAUGING DATA <br /> Water Level Measuring Method 11+17-iQFAr – Measuring Point Desc,lptlon i C� <br /> {i <br />' WELL Total Depth Depth to Water I I Water Column MultlphCasing Total Peq d <br /> srtor Volume I�Purce eVolurle <br /> Vo <br /> VOLUME (feet) .E (feet) (feet) X Castnc Diameter (gal) <br /> CALCULATION — I — <br /> L�i � � I /y5- 7 0161064 + 144 , � l <br /> PURGING DATA f <br />' Purge Method j�CLAL , i kCer K__ Purge Depth SCIZse-6/V Purge Rate i ✓� <br />' Volume Purges(gat) <br /> n7emperature °"'v <br /> -7 ---�7 -7. 4 scab <br /> -ySpec�c Conduc#tvfty(umh4s) <br /> _-T,;f�IditylColtir _ ` w I f (ccr� <br /> _Casing VolumesRemoved <br /> - - <br />' Comments/Observations <br />' SAMPLING DATA Time Sampled Approx Depth to Water Dunng Sampling <br /> Comments <br />' Vol; <br /> umeSnipped Under Chain <br /> Sample Number of Container led a'Custady at 4oC Analysis <br /> Number Containers Type Preservauve ( ort) Turb:dsty Color (YIN) Method Commen s <br /> IVDA HCS �g rrn�l <br /> C <br /> ta[Purge Volume t� t-c r�IvS Disposal/Containment Method TRAIL,E� TTD {Rb(,-t-t.c- _ <br /> eatherConditions <br /> Condition of Well Box and Casing at Time f Sampling <br /> Well dead Conditions Requiring Correction(locks damaged casing or well box etc ) r _ <br /> Problems EncounteredDuring Purging and Sampling _ <br /> Comments <br /> PMS PRCJTEMP FORKS PURG'c1096 <br />