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t <br /> GROUNDWATER PURGE AND SAMPLE FORM <br />' Project Name Cxxerl _ __ _ Well No Mw 1 U Date I t/-. q I 2 <br /> Project No 51-5 3 Q Personnel <br />' GAUGING DATA <br /> Water Level Measuring Method 10+$-A0-ca P—o 6Q Measuring Point Description -i OC <br /> Casing Tota!Req'd <br /> WELL Total Depth Depth to W+aterWater Column+Casing <br /> Multlpllerfor Volume Purge Volume <br /> VOLUME (feet) _ (feet) (feet) Diameter (gal) (gal) <br /> CALCULATION 2 4 6 <br /> LA Z U L4 5 I ` (0 0 16 0 64 144 Z O 14 (o O <br /> PURGING DATA <br /> Purge Method ._Vacuyr► 7'rVCR Purge Depth 5crarn Purge Rate Vo q'pm <br /> L Time <br /> O jig to 45 to 4-11 10 qv- <br /> Volume Purges(gal) <br /> Temperature(,C) b I % <br /> pH _ <br /> OI;, % O 4 o Z <br /> Specific Conducttvlty(umhos) x`� C11 Z 1 0 2Q# I O y S7 q <br /> ;'Y� rhldrty/Color y = r'ta�+v^^ r►edi�r+ 4 u•,•+ I�•r <br /> n' �- <br /> S.OdOr <br /> 'Casing Volumes Removed d } Z <br /> r <br /> Dewatered <br /> Comments/Observations <br />' <br /> SAMPLING DATA <br /> Time Sampled 10 5 ( Approx Depth to Water During Sampling <br /> Comments <br /> Sample Number of Container volume Shipped Under CA <br /> Filled of Custody at aohain nal C ys+s <br /> Number Containers Type Preservative (mL or t. Turbidity Color !N Method Comments <br /> '�1PH Fri T <br /> \..f % U vaoLS 1-4c I L40r,1 <br /> otalPurgeVolume °1 Dlsposal/ContainmentMethod ±'=a.— r— <br /> WeatherConddions C v - _ <br /> Condition of Well Box and Casing atTirAe of Sampling <br /> Well Head Conditions Requiring Correction(locks,damaged casing or well box,etc ) N <br />' Problems Encountered During Purging and Sampling r.l <br /> Comments <br /> PM1?R0,l TEMP iMPF"'t PURrcll -. <br />