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1 <br /> FEM GROUNDWATER PURGE AND SAMPLE FORM <br /> P,r,c)j,e,ctt Name C'CXC�/V WeII No .✓/ V -� -a <br /> No 'TI S ?q GZ 13C��� Personnel C' 'Qls <br /> GAUGING DATA <br /> Water Levef Measuring Method FS EE= Measuring Po;nt Descr ptFon <br /> WELL Total Depth Deoth to Water I Water Column Multlolierior Casing1 Total+eq <br /> Volume 1 I Purge Volume <br /> VOLUME {feet} ` (feet} (feet} �� Cosmo Diameter {gal} <br /> CALCULATION �� G c7 Z �f, 2 6 �J <br /> 061064 13 44 1 <br /> PURGING DATA <br /> Purge Method V C,c. Uy-Y" -7 Qc_, Purge Deoth Purge Rate ,• '� <br /> Time2- <br /> Volume Purges(gal)~ <br />' `Temperature(!,!g) .4 <br /> pH <br /> 74 <br /> 5pec>fic Conductivity <br /> `T�rbtdity~/Calor — , - fv'�T! <br /> Odor 7, <br /> Castng Vafumes Remo <br /> &watered? s <br />' Comments/Observations <br /> SAMPLING DATA Time Sampled L� 11 <br /> P Approx Depth to Water During Sampling <br /> Comments <br />' Volume Shipped Ur>der Chain <br /> Sample Number of Container F:Iled of Cus'Day al<aC Analysts <br /> Number Cpniatners Type Preservative I mL or Ll T�rbtdity Color fYRJI I Met`md Comments <br /> .tc Vow �11 -' <br /> C t< <br /> tafPurge Volume Dlsposal/ContalnmentMethod TP-AtLc 70 U LC- <br /> atherConditions <br /> dltion of Well Box and Casing at Yime of Sampling U 1— <br /> Head Conditions Requiring Correction(locks,damaged casing Orwell box etc ),-,11) <br /> =ms Encountered During PurgingandSampling <br /> ents ------ <br /> TrMP FORMS PURGE10% <br />