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GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name Well No P Z Date 7-[31'9 7 <br />' Project No 515.3qLiz 13 U U <br /> Personnel <br />' GAUGING DATA <br /> Water Level Measuring Methodrt-a%Fac¢ I�ro)�Q• Measuring Point Description TC-J C <br /> t WELL Total Depth Dn:!!Jj <br /> Mull' <br /> Casing Total Fteq'd <br /> feet Volume Purge Volume <br /> VOLUME { ) ng DiameterCALCULATION �" (gal) (gal) <br /> 30� 0 64 1 44 I <br /> PURGING DATA <br /> Purge Method 1/ tuck Purge DepthC Purge Rate `1 <br /> _ g <br /> _ <br /> It V O <br /> Volume jPurbes(gal)Y{y� w <br /> Temp re -'atu�ei(°C}�� >ry i9 y i9 <br /> pH <br /> :C <br /> SpectttcConBudrvtty' (umhos)- <br /> $ <br /> ` % 3 `} <br /> = t' 8 8"1 8553 <br />' Odor, <br /> - N fti <br /> ---Casing Volumes Removed <br /> - x- 3 <br /> Dewatered? <br />' Comments/Observations. <br />' SAMPLING DATA Time Sampled 1 1 O(a <br /> P Approx Depth to Water During Sampling �O <br /> Comments <br />' Sample Number of Container Volume Snipped Under Chain <br /> Filled of Custo at a°C Analysis <br /> Number Containers Type Preservative dY <br /> � mL or L Turbidity Color /N Method comments <br /> HCI V <br /> Total Purge Volume 2 s Disposal/ContainmentMethod Qa Km- ±2-K <br /> Weather Conditions C I cv -- <br /> Condition of Well Box and Casing at Time f Sampling <br /> Well Head Conditions Requiring Correction(locks,damaged casing orwell box,ptc) N <br /> Problems Encountered During Purging and Sampling <br />' Comments <br /> PNS PRQr r+uP FORA/.S PURGcfo% <br />