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I <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name Well No R 1.4 Z Date 7.13 j9-1 <br /> ProjectNo 5 15 L{2. 13 U U Personnel <br /> GAUGING DATA <br /> Water Level Measuring Method Measuring Point Description TG C <br />' WELL Total t7epth Depth to WaterMCasing <br /> Multiplierfar Casing Totaf lleq'd <br /> Volume Pur a Volume <br /> VOLUME (feet} (feet} Diameter (gal) t-Igal) <br /> CALCULATION 1$ 6 0 64 1 44 2c� zCo `!q <br /> PURGING DATA <br /> Purge Method VQg.UVrrl 17vCk Purge Depth Purge Rate , g�^• T� <br /> Time <br /> lu3� 1u `t1 <br /> Voiuirne Pdrges(gai} " € "- <br /> ? U 20 i-! O <br /> Temperature(°C}}v > a x y ! t 8 IR 1 CI .3 1 CrpH <br /> L� <br /> tiC1 5,L 1 53 1 55 <br /> 5peciftcCon ducttvtty(um hos} q 0'1 <br /> Turbidity/Color <br /> CI¢gr <br /> Odor-,= r1i <br /> o <br /> --Casing Volumes Removed w� } <br /> . _ , , r 1 2 3 <br /> ` <br /> Dewatered?. _ <br /> - <br />' Comments/Observations <br /> SAMPLING DATA Time Sampled 1 U 'i`) <br /> P Approx Depth to Water During Sampling 2Z <br /> Comments <br /> Sample Number at Container Volume shipped Under Chain <br /> Filled of Custody at 40C Analysis <br /> Number Containers Type Preservative mL or L Turbidity Color Method Comments <br /> z 3 v � 10� 1 �s-s <br /> 1 <br /> Total Purge Volume ('Q I Disposal/ContainmentMethod <br /> Weather Conditions C I o <br /> ConditionofWell Box and Casing atTi eofSampling c7 <br /> Well Head Conditions Requiring Correction(locks,damaged casing Orwell boxl etc} N <br /> Problems Encountered During Purging and Sampling 1 {V <br />' Comments <br /> PNS PRaj TEEMP FORwS pURrE1oge <br />