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GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name Exxofl Well No MWI Date 11 <br /> 1 Project No 515 3 q Personnel _J3 G',""z M� <br /> GAUGING DATA <br /> Water Level Measuring Method = '/-' ca„ "a Q.,, Measuring Point Description . i 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 (gal) _ (gal) <br /> CALCULATION 2 4 6 <br /> 3 O 15 si g $,3 8 016 0 64 144 5 30 <br />' PURGING DATA <br /> Purge Method Uv.Cwr-n Tr1rCR Purge Depth Scr-¢an Purge Rate I.1T !pj R -i <br />' Time <br /> Volume Purges(gal) I I <br /> Temperature(°C} 14,q I q•3 19 <br /> h^l _ y r • ��x,.. _ <br /> fLI 'z <br /> u5pecificConducttvity(umhos) <br /> ;Turbidity/Calor ,Ay r� 1� ^' r low l4..+ +• lorr t}. <br /> Odor <br /> n1 N ry <br /> Casing Volumes Removed-1 � Z <br /> Dewatered? hJ N <br />' Comments/Observations <br />' SAMPLING DATA Time Sampled 1 Z Z t <br /> p Approx Depth to Water During Sampling 2 <br />' Comments <br /> Volume Shipped Under Cham <br /> Sample Number of Container Filled of Custody at 40C Analysis <br /> Number Containers Type Preservative mL or L Turbidity Color IN Method Comments <br /> Total Purge Volume lit Disposal/Containment Method <br /> Weather Conditions <br /> Condition of Well Box and Casing atT e of Sampling O IC <br /> Well Head Conditions Requiring Correction(locks,damaged casing orwell box,etc ) <br /> Problems Encountered During Purgingand Sampling <br /> Comments <br /> OV9 PRCU TEVp POPmr P11RCc,j7, <br />