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GROUNDWATER PURGE AND SAMPLE FORM <br />' Project Name E25xcv)___ _ Well Na W 2 Date 11,!q I9rg_ <br /> Project No 51534Q 7- _ Personnel a��u <br />' GAUGING DATA <br /> Water Level Measuring Method XLA A^a Measuring Point Description i o C <br /> Casing Total Req'd <br /> WELL Total Depth Depth to Water Water Column Multiplierfor Volume Purge Volume <br /> VOLUME (feet) :aa (feet) _ (feet) X Casing Diameter (gal) tq <br /> gal) <br /> CALCULATION — 2 4 6 <br /> Z-1 y 5 2 z 1 !-�•(9 016 064 144 2 9 C1 9 <br />' PURGING DATA <br /> Purge Method V e n = CK Purge Depth 5c_'r¢a-) Purge Rate -3 9p_r--% <br /> Time_ I '{ ( 'H H -) it <br /> r <br /> - Volume Purges'(gal)r y '� -'< 'Y <br /> _ U 3co °1 <br /> Temperatures(°C) 9 20 14 <br /> rr <br /> 0(p $ OCo % .O N S 01 <br /> Specrftcconductivity(umhos) -y 1035 1054 ) O�jZ 10Q <br /> , s h+ <br />' rbidrty%Color <br /> iYOdor_` +�..M�M �_ _s <br /> Casing Volumes RemovedZr <br /> �y, 1 2 3 <br /> _ Dewatered? <br />' Comments/Observations <br /> SAMPLING DATA Time Sampled I t 5 I <br /> p Approx Depth to Water During Sampling 7�9 <br />' Comments <br /> Sample Number at Container Volume Shipped Under Cin Analysis <br /> Number Containers Type Preservative (mL <br /> of Custody <br /> Turbidity Color LY at 4ohaC Method Comments <br />' q <br /> Mu -I <br /> voaLS I-4C � 0r "+a <br /> ,1 rd+Jr•. b< wn 'TPH- <br /> oF'CT <br /> otalPurgeVolume Ci Dtsposal/ContainmentMethod {'q- 1cr 'ia QOr"i ic <br /> Weather Conditions o14 <br /> Condition of Well Box and Casing at time of Sampling <br /> Well Head Conditions Requiring Correction(locks,damaged casing orwell box,etc ) <br />' Problems Encountered During Purging and Sampling <br /> Comments <br /> PVr'PR'JJ TEM0 FClaF,C ai JRi=I0^ , <br />