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GROUNDWATER PURGE AND SAMPLE FORM <br /> ProjectName Well No ML4 <br /> Date -LI3191 <br />' ProlectNo _ 51559L(?, 13UU _ Personnel <br /> GAUGING DATA <br /> Water Level Measuring Method =­+'a,4��c¢ Pro_6 LIr Measuring Point Description _MC_ <br /> WELL Total Depth Depth to Water Water Column Multiplierfor Casing Total Req dg <br /> Volume Pur a Volume <br /> VOLUME (feet) _ (feet) (feet) X Casing Diameter (gal} _ (ga1} <br /> CALCULATION 2 ® 6 <br />' Zq q C0 l 7 3 L t (9H 016 064 11 44 , LI 5 22 35 <br /> PURGING DATA <br /> 1 Purge Method UQC VUM IrUC 1C Purge Depth Purge Rate t'1 5 4?rte <br /> • Tr <br /> _1 Time" <br /> 5 <br /> +` <br /> 2 1 v 10 5 <br /> Volume Purges(gal) p 7 S <br /> 15 2z 5 <br /> Temperature(°C) <br /> 19 (o <br /> = <br /> Spec Conuctivity(umhos) ` <br /> - � <br /> Turbld�tyxolor <{- � _ tom. r Iw. 1 • i lo. , <br /> _ - c IQar <br />' Odor <br /> •' l-t C E--t C t--iC ►�} <br /> Casing Volumes Removed w r Z 3 <br />' Dewatered?- `- <br /> ry <br />' Comments/Observations <br /> SAMPLING DATA <br />' Time Sampled IQ 5 % Approx Depth to Water During Sampling 2Z <br /> Comments <br /> f Sample Number of Container Volume Shipped Under Chain <br /> Number Filled of Custody at 40C Analysis <br /> Containers Type Preservative mL or L Turbidity Color M Method Comments <br /> Y ow i} i N'9 <br /> S rte' BTc;lc Ns-� <br /> Total Purge Volume DlsposaXontainment Method 9c,Km- -tci,'K <br /> Weather Conditions <br /> Condition of Well Box and Casing at Time of Sampling <br /> Well Head Conditions Requiring Correction(locks,damaged casing orwell box,etc} <br /> Problems Encountered During Purging andSampling <br /> Comments <br /> Pv5 AROJ rAso FOR+uS aua;.E 1096 <br />