Laserfiche WebLink
GROUNDWATER PURGE AND SAMPLE FORM <br /> F- 7Projec:tNo <br /> ame c�XbN Well Na °J %1 %�- ✓ {� <br /> Da P / <br /> S IIS 3� Personnel <br />' GAUGING DATA <br /> Water Level Measuring Method O F E Measuring Point Descr otion i Com' <br />' <br /> WELL Total Depth Depth to Wager I I Water Column I MulUphCasing T otal req der,or Vplume � Purge Volume <br /> VOLUME (feet) .■ (feet) (feet) Casing DlameLer I (gal) (gal) <br /> CALCULATION <br /> } - X <br /> JJ <br />' J 06 10 64 <br />' PURG1NGDATA 67-,567 <br /> Purge Method V4CLk..uw2 rRu��KPurge Depth SC1tCFe/V Purge Rate f <br /> T,-me <br /> Volume Purges(gal) I -7 0 <br /> Temperature(°C)W 12 (- <br /> 16- <br /> REL__Spec'�C Conductivity(umhos)E5(2 <br /> ;-T urbid ty Colors<cJLL/ <br /> 1, - <br /> -- Casing VolumesRemov_ed <br /> n v 1-,12,) <br /> Comments/Observations <br />' SAMPLINGDATA <br /> Time Sampled Approx Depth to Water During Sampling <br /> Comments <br /> Sample Number of ContainerVolume Shipped Under C1acn <br /> Filled of Cis ody at 40C .naiysis <br /> Number Containers Type Preservative it. or Ll Turbidity Calor [ n,/Hi Method Comments <br /> IVDA I hCG V r�9 f7 til <br /> tal Purge Volume Disposal/Contamment Method TP-A'L,EP, 7-0 ROM t c- <br /> _ <br /> eatherCondltions J✓�'t"� <br /> Condition of Well Box and Casing at Tim cf Sampling <br /> Well Head Conditions Requiring Correction(locks damaged casing orwell box etc 1 <br /> Problems Encountered During Purging and Sampling <br />' Comments <br /> PMS PR0J TFMP FOAMS PURGE 5096 <br />