Laserfiche WebLink
GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name C�Xbr Well No F' <br /> amt_ <br /> Project No 51J -f-3� 2 , / 3C�Q Personnel C' lel <br /> GAUGING DATA <br /> Water Level Measuring Method U _ Measuring Point Description i C� <br /> Casing I Total req d <br /> WELL T Dial Depth Deoth to Water Water Column ivlultrolle��or I Volume �Purge Volume <br /> VOLUME (feet} {feet) {feet) zsinc Diameter <br /> CALCULATION 14 1 {-c7a�} (gal) <br /> 0161064 11 44 <br /> PURGING DATA <br />' r <br /> Purge Method V CLCL11-12 Purge Depth S'CR-C:5�✓�J Purge Rate <br /> _rme� - _ -__ - - _ �`=`- � 1�►�J I I�f �/�f/ 7 I Ht�' <br /> Volume Purges(gal) <br />' `Temperature <br /> ptl <br /> 5p( cdicConductivity(umhos)�_ _ I "✓�� �� �_-, <br /> _ r, _ r <br /> _Ti.Ti i, itylColor , _ � � _ I ,L�t�(' I ri u /►tee <br /> lll � `Jt <br /> NJQ NDPV6 <br /> .=Casmg Volumes Removed-:-- ',Z': <br /> 6ewatered7 r' ~ T^ '. d A-0 1 /1-0 <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled ) Z� Approx Depth to Water During Sampling <br /> Comments <br /> Sample Number of Container Volume Shipped Urder Cham <br /> Filled of Cus ody at 4°C �ml <br /> Number Containers Type ?reservatwe (mL or LS I Turbrdrty Color fYINI FMel", <br /> comments <br /> I IVDA I HCL I��rn� I szv 10 C e I y "9 sm, R-�I <br /> 1 _ VO-P, HCL— 1'Z'm L I C U(VJ o <br /> I <br /> i I I I I <br /> otat Purge VolumeC V &ALL--r�NS Disposal/Containment Method TRA,Leg_ 7-tom? I�L� <br /> It•t t C� <br /> eather Conditions <br /> Condition of Well Box and Casing at T f e of Sampling tC <br /> Well Head Conditions Requiring Correction{locks,damaged casing Orwell box etc ) <br /> Problems=ncountered During Purging and Sampling <br /> Comments <br /> PNS PfiG17cMP FORMS PURGci0% <br />