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GROUNDWATER PURGE AND SAMPLE FORM <br />' Project Name E253eewl --._ _-_-. Well No , R W N Date 14 <br /> Project No 515 3 qQ7- Personnel 13ortiti a�4 <br /> GAUGING DATA <br /> Water Level Measuring Method Tr14'-/'4'0ca R^p L-3Q Measuring Point Description i O C <br />' Casing Total Req'd <br /> WELL Total Depth Depth to Wat"Columnultlplierfor Volume Purge Volume <br /> VOLUME (feet) (feet) ng Diameter (gal) (gal) <br /> CALCULATION4 6 <br /> H 1U T5 2$ 0 64 1 44 <br /> .4��'J 3 T <br /> PURGING DATA <br /> Purge Method -y-9&Uyr-1 �T'rUC{� Purge Depth ScT2wn Purge Rate N 1�?�^'� <br />' <br /> Time h L <br /> 'Q-"J 10 $ in 10 10 {a , 13 FO 15 <br /> Volume Purgiik(gal) ; J d <br /> 12. 5 z4 �. <br /> Temperature(°C) `�`� !to L {-15 <br /> r <br /> 1.92 `1 95 <br /> Specific Conductivity(iamhos) µ� q 3 5 S q50 q-3-1 <br /> ��7urbidrty/Color <br /> OOdor,�y=x5'' = a l— <br /> k� { <br /> Casing Volumes'Removed d 2 <br /> Dewatered� N N r <br />' Comments/Observations <br />' SAMPLING DATA '1 <br /> Time Sampled 10 17 Approx Depth to Water During Sampling 2 <br />' Comments <br /> Volume Shipped Under Chain <br /> Sample Number of Container Filledof Custody at 40C ` Analysis <br /> Number Containers Type Preservative mL or L Turbidity Color /N Method Comments <br />' rtF'H- <br /> v.l V6C%5 HC l 40,.,1 10"/ C)Q <br /> Total Purge Volume -1 5 Disposat/ContainmentMethod + r`24 <br /> Weather Conditions <br /> Condition of Well Box and Casing at Time of Sampling OIC <br /> Well Head Conditions Requiring Correction(locks,damaged casing orwell box,etc ) <br />' Problems Encountered During Purging and Sampling <br /> Comments <br /> DMS PAW TEMO Fnave;ar1R{;c rd <br />