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GROUNDWATER PURGE AND SAMPLE FORM <br /> FProject Name ��XbN Well No UV4G ,�� <br /> DGie <br /> ctNo Personnel C ' �!s <br />' GAUGING DATA <br /> Water Level Measuring Method Measuring Point Description 7-0 <br />' WELL Total Depth I Decth to Water I I Water Column I Multloflerfor Casing Total Req d <br /> Volume I Purge Volume <br /> VOLUME (feet) (feet) (feet) X Caslnc Diameter {oal} (gal) <br /> CALCULATION <br /> 0 16 10 64 11 44 <br /> PURGING DATA <br />' Purge Method V�GLc_�vY2, �iQc cox Purge Depth S'C.R EIV Pure Rate <br />' TIT- e--: <br /> Volume Purges(gal)� 'e I I <br /> t '7-TemperaturepH <br /> 7 <br /> -Specrt:cConducttvtty{Ymhos)__, ) c� I --7 `� I Zq— <br /> Turbidity/Color :-:� 4 <G <br /> LRLX <br /> Odor_ <br /> rvo—CasingVolumes Removed <br /> � { <br />' Comments/Observations <br /> SAMPLING DATA Time Sampled Z��C� <br /> P Approx Depth to Water During Sampiing _t (.Q <br /> Comments <br />' sample Number of Container Volume slipped Under C iairi <br /> rirled of G�siody at °C Analysis <br /> Number Containers Type Preservauve I fmt_or L) IT urb`dity I Color rylm I Method Comments <br /> v�rn�Sl 3 IVDA HCL 1-rornL- I <<,,.�, ! � y ��g nF;--�I <br /> I I <br /> tal Purge Volume &,gw—ONS Disposal/Containment Method (RAt(,� 7-D j\.U1u^t c— <br /> atherConditions 1 V(-,, <br /> ondition of Well Box and Casrng of tzme of Sampling Ok-- <br /> Well Head Conditions Requiring Correclion(locks damaged casing or well box etc ) <br /> Problems Encountered During Purging and Sampling 1\1C.) <br /> Comments <br /> PMS PROD 7--zmp FORMS PURGEIC% <br />