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GROUNDWATER PURGE AND SAMPLE FORM <br /> ProfectName Wel[Na <br /> ProlectNo Personnel H ;'v'P— <br /> GAUGING DATA <br /> Water Level Measuring Method — Measuring Pomt Descnptlon <br /> Casing T otaE meq d <br /> WELL Total Depth Death to Water Water Column I Multlplierfor Volume Purge Volume <br /> VOLUME {feet} (feet} {feet} Casing Dcarneter <br /> fgal} _ {gal} <br /> CALCULATION _ -- <br /> �r� / 7U I �f 0161084 � � 64 <br /> ! I I l <br /> PURGING DATA <br /> Purge Method V CL-c YY) Purge Deoth SCREe/U Purge Rate 1 <br /> TimQ� 7 <br /> Volume Purges(gal) i�'e y A , I 17 C RC1 <br />' `-Temperature <br /> pH w - ' _ 6, j �'7r <br /> - rte_, - i• <br /> ._Specrfic Conductivity(umhos) 7 <br /> Turbidity/Color yA•?� <br /> --Odor _ , . ` -'-> I ALU <br /> Casl'ngVofumesRem ved <br /> Comments/Observations <br /> SAMPLINGDATA Time Sampled �7 �� <br /> P , Approx Deptn to Water During Sampling <br /> Comments <br />' Vowme Snipped Under Chain <br /> Sample ;N,.,nm, <br /> ber of Container rill ed of Custody at aoC Analysis <br /> Number ainers Type ?rese,juve I mL or Ll Tu�idily Color I nMt I Method Commen 5 <br /> ( 2I Ivor1 hct_ I-(�rn� ��}1 <br /> I I <br /> fw <br /> tal Purge Volume bAt1_ahr� Disposal/Contalnment Method TRA,C T- Pwncf_c— <br /> eatherConditionsonclition of Well E3cx and CastngatTime of Samplingell Head Conditions Requiring Correction(locks damaged casing orwell box etc) � <br /> Problems Encountered During Purging and Sampling 1 <br />' Comments <br /> PM5 PRd]7EMP FOAMS PURG'e1C96 <br />