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GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name y-ti Well No _.N1W t O Date <br /> Project No 5 t5 L{Z 130U Personnel <br />' GAUGING DATA <br /> Water Level Measuring method � tz��cica„ hyo 1� _ Measuring Point Description _M C <br />' Casing Total Req'd <br /> WELL Total Depth Depth to Water Water Column Multiplierfor Volume Purge Volume <br /> VOLUME (feet) (feet) (feet) X Casing Diameter <br /> ,,,,, _ (gal) _ (gal) <br /> CALCULATION <br /> 2 4 6 <br />' 3 L1 Z O 2 0 2`4 13 q(a 01 ra 0 S4 1 44 9 3 2co $U <br />' PURGING DATA <br /> Purge Method VOCUL)r-1 ruck. Purge Depth Purge Rate <br /> Time; -� <br /> Oq LILA Gq y{, Oq 41 bq 99 <br /> Volume Purges(gal) <br /> r ^�cs�tiY,—�.�- <br /> Temperature( C}..��,�s���,r�-• I� 1 /� <br /> I "1 opH <br /> Ii <br /> S3 157- <br /> j- <br /> r ',, �, r_ <br /> Specrrfic Conductivity 84 3 q l� C14 5 <br /> Turbidity/Color <br /> �►c h+C HC' I-1 <br /> (Z- <br /> Casing Volumes Removed -•� 6 2 <br /> _Dewatered? <br />' Comments/Observations <br />' SAMPLING DATA Time Sampled Qq p 52 Approx Depth to Water During Sampling 2-2- <br /> Comments <br /> ZComments <br />' Volume <br /> Sample Number of Container Shipped Under Cham <br /> Filled of Custody at 40C Analysis <br /> Number Containers Type Preservative mL or L Turbidly Calor Method Comments <br />' �-►`x'14 .3 Y LA0 lo.-.r br�,..i �cx +� <br /> Total Purge Volume 2 7 Disposal/ContainmentMethod QG L,Qm= ~tin K <br /> Weather Conditions C I DQ - — <br /> Condition ofWell Box and Casing atTmeofSampling 0<_ <br /> Well Head Conditions Requiring Correction(locks,damaged casing orwell box etc) <br /> Problems Encountered During Purging and Sampling <br />' Comments <br /> PM5 PRO,!TEMP FARMS PURGE109E <br />