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1 <br /> SN GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name EX'Koy Well No Date 3 --3 a� <br /> ProlectNo S/S �� �2 , 13C�Q Pe,sonneI C /Ql�� [E44 ; C/ <br /> GAUGING DATA <br /> Water Level Measuring Method PEO&E r Measuring`joint Desc,lptlon 7—Cr' <br /> 1 WELL Total Depth I Depth to Water Water Column Multipirerfor Casing T otai,7eq d <br /> Volume Pur e Volume <br /> VOLUME (feet) (feet) (feet) � Casing Diameter � g <br /> .. — {gal) (gal) <br /> CALCULATION �} — — <br /> 0 16 0 4 1 4Y <br /> PURGING DATA <br /> Purge Method f`i C(- ;d.W� ��c��� Purge DeDth SCI�-00V Purge Rate <br /> Tir`ne- <br /> Volume Purges(gal) <br /> Temperature <br /> ptl <br /> --Specrf`c Conductivity(Ymhos) �(C7 S7 42 I <br /> 2 Turbldrty/Color <br />' -Odor_; <br /> Casing Volumes Removed"-: <br /> Comments/Observations <br />' SAMPLING DATA Time Sampled Approx Depth to Water During Sampling <br /> Comments <br />' Volume Snipped Under CZatn <br /> Sample Number at Container (VF Ill <br /> of Ct tody at 4°C Analysis <br /> Number ff Cowamers I Type Preservauve (mL le LY Turbidity Color to Method Comments <br /> ;' f IYDA hCL I-OM I L)w CI_ty e rig rM, r. <br /> I I I I I <br /> Aj&ptal Purge Volume Disposal/Containment Method —MATLE 7-0 t C_ <br /> eat herCond"'o"s ` v� <br /> ondition of Well Box and Casing at ime of Sampling 6 <br /> Well Head Conditions Requiring Correction(locks,damaged casing orweii box etc) J <br /> Problems Encountered During Purging and Sampling r./') <br /> 1 Comments <br /> PuS PROJ T£MP FORntS PVFL;ci056 <br />