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GROUNDWATER PURGE AND SAMPLE FORM <br /> ProlectName ori Well No _ MW 9 Date 4131g-1 <br /> Project No 5 15 '-(Z 13 U U Personnel Q L,r,iQ11U <br />' GAUGING DATA <br /> Water Level Measuring Method 1 rood Measuring Point Description TMC <br />' WELL Total Depth Depth to Water Water Column Multi Iterfor <br /> ACasingETotalReq'd <br /> p lume <br /> VOLUME (feet) (feet) (feet) x Casing Diameter CALCULATION2 4 6 <br /> 2 q V 1-1 5 1 �2 17 0 16 064 1 44 <br /> PURGING DATA <br /> Purge Method 1/guurri —Iry ck- Purge Depth 5Cf-)z¢--t Purge Rate5Qe r--1 <br /> 10 30 1 01uZ <br /> V-olum-ePurges $ 1 02.35 <br /> 5 w y ^+a Tw <br /> Temperature(°C),ti�.y�ra- �'"`� <br /> 70 0 <br /> ) C1 17-03 <br /> Specrltc Conductivity(urritios), %Z.3 -I 9 Li R US Q <br /> Ll Li <br /> s <br /> Turbidity/Color <br /> � a�- C c o✓ Cl cr <br /> Odor r <br /> .y f11 <br /> Casing VolumesR;;;oved �'4^' _ O l 2 <br />' De, <br /> 'i <br /> De,' ed� w- <br />' Comments/Observations <br />' SAMPLINGDATA Time Sampled I o . os 20 <br /> P Approx Depth to Water During Sampling <br /> Comments <br />' Volume Shipped Under Chain - <br /> Sample Number of Container Filled : 1 (Y/N) <br /> of Custody at 40C Analysis <br /> Number Containers Type Preservative mL or LTurbidity Color Method comments <br /> SnW 3 Y 1 0..r C ka'- <br /> r3T�r "r-I4 <br /> t <br /> Total Purge Volume Z3. 5 DisposaVContainment Method 1r3. a K 1< <br /> Weather Conditions C <br /> Condition of Well Box and Casing at Ti e of Sampling K <br /> Well Head Conditions Requiring Correction(locks,damaged casing orwell box,etc ) ►�' <br /> Problems Encountered During Purging and Sampling <br />' Comments <br /> PNS PROD TARP FORMS PUPG--1095 <br />