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GROUNDWATER PURGE AND SAMPLE FORM <br /> ProjectName y-1 Well No _Mw% Date z 3 1 <br /> Project No 5153!12. 13UCD Personnel <br /> GAUGING DATA <br />' Water Level Measuring Method MeasuringPointDescrl tion 70C <br /> P <br />' WALL Tota!Depth Depth to Water Water Column Multtplrerfor Casing Total Req'd <br /> Volume Pur a Volume <br /> VOLUME (feet) s (feet) (feet) ){ Casing Diameter (gal) Purge <br /> CALCULATION <br /> 2 4 6 <br />' 3o 1-io 1(v1Fs 13 G2 016 064 144 g1Z �� 1 (a <br /> PURGING DATA <br />' Purge Method VQCVur-yn ruck Purge Depth _-2Crzzq,�:D Purge Rate _5 z 4,3rn <br />' <br /> Timex- <br /> 10 1 1 o I Ll l v 1 5 t U i) <br /> Vofume Purges(gal) ' <br /> Temperature(°C),a. ; ;� _ I Jr 1 rG g 19 <br /> r ..�: 7pH <br /> I <br /> Z-- -1 51 <br /> .-SpecrflcConductrvtty{umhas);�� . CI1 , Q l UO <br /> q Ca <br /> Turbidity/Color Y% ��� .iey 7 1 J. , 1 Ow <br /> � �r Y a <br /> Odor' <br /> r- -} <br /> Casing Volumes Rein-ed <br />' 2 <br /> Dewater �`ed <br /> t-.J <br />' Comments/Observations <br />' SAMPLING DATA <br /> Time Sampled _L U Z O Approx Depth to Water During Sampling ZH <br /> Comments <br />' Sample Number of Container V�ed <br /> Shipped Under Chain <br /> Fof Custody at 4°C Analysis <br /> Number Containers Type Preservative mTurbidity Color ffINI Method Comments <br /> HC I r Vra_9 <br /> Total Purge Volume Disposal/Containment Method QV,Km-- 1a^K <br /> WeatherCondrttons CILw <br /> Condition ofWell Box and Casing atTi eofSampling O< <br /> Well Read Conditions Requiring Correction(locks,damaged casing orwell box,etc) rJ <br /> Problems Encountered During PurgingandSamplrng r1,/ <br />' Comments <br /> Pivs PROJ SMP FoFwS PuRGEtoge <br />