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Lm <br /> GROUNDWATER PURGE AND SAMPLE FORM Date <br /> Project Name ?'39 '2 Well Number• <br /> Project Number- -23Z Personnel A <br /> GAUGING DATA <br /> Water Level Measuring Method: Measuring Point Description -Te-)L_ _ <br /> Total Depth Depth To Water Water Colu4::2:: <br /> Mutttplfer For Casing Total Req'd <br /> WELL (feet) (feet) fest Volume Purge Volume <br /> VOLUME _ (feet) Cast Diameter <br /> CALCULATION — I4 (gal) (9x11 <br /> 30 o�Q 0 4 03 {~7016 I a sa I as <br /> PURGING DATA vor <br /> lPurge Method CA Purge Depth <br /> Tin .�,_,�� .. �„� T Purge Rate �•U <br /> e . . �� +�. �4_ 3 13a , <br /> Volume P,K Y,,�,,..•�-. ��_: G <br /> ursJed(gal) <br /> Temperature (�C}. " .v _� _ ��. 05 (0 0 � S 069 <br /> PH <br /> Specific Conductivity (µmhos) 1 00 /0�10 10-70 <br /> rbidtty/Color <br /> Odor :�j:''r '`s. :�;•," v <br /> Casing Volumes Removes! <br /> Dewatered?-- _ .::'•'?'; �<` N <br /> Comments/Observations: <br /> AMPLING DATA <br /> Time Sampled- Approx Depth to Water During Sampling _ Ul_^__ <br /> Comments - <br /> g+++� PiRettC+s o! Comair i ,4T-- V + Volurw Fc�-d ��P�Under 4Tan of <br /> Cant-,In-v- Type- —• Prr.n►:efvo (mf ae Ij Turbb*q- Cnior C.u=ldy <br /> et 4�C jY1N1 AAumod Ccnrrrnts <br /> WI 3 Vow �u 4� low Claw <br /> 1 i <br /> tal Purge Volume a Disposal/Containment Method n-,LeAS <br /> er Conditions <br /> J11'Head <br /> ion of Well Box and Casing at Timeof Sampling <br /> Conditions Requiring Correction (locks damaged casing or well box etc <br /> 5roblems Encountered Ourtng Purging and Sampling <br />�mments <br />