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1,4m GROUNDWATER PURGE AND SAMPLE FORM Date: - <br /> Project Name- � Well Number <br /> Project Number- ,3 3�] �a�- _ Personnel Ar <br /> GAUGING DATA <br /> Water Level Measuring Method: Measuring Point Description <br /> Total Depth Depth To Water Water Column Multiplier For Casing Tota! Reg`d <br /> WELL (feet) (feet) (feet) Casing Diameter Volume Purge Volume <br /> VOLUME _ �/ (gal) (gal) <br /> A <br /> CALCULATION �� 2 4 6 <br /> fl , Q 1;4 , � f 4 Q 1447 <br /> PURGING DATA <br /> Purge Method. Purge Depth Purge Rate <br /> Time <br /> Volume Purged(gal) 3Q `t <br /> Temperature (°C) <br /> pt{ <br /> Specific Conductivity (µmhos) �'3 Pqo /280 1 Q(0 0 <br /> 11trbiddyidolor <br /> W <br /> Odor <br /> 4 <br /> Casing Volumes Removed r <br /> Dewatered?. -,�:;'�"°• -_� N N N <br /> w L <br /> Comments/Observations- <br /> SAMPLING DATA Time Sampled . std - Approx Depth to Water During Sampling <br /> Comments- <br /> San�1s N+i+bar of Car;airrs�i Y: - Vahmw r�Md St�apaa Llrseser[gym of <br /> tI �Y- color _ �.. <br /> Neredar CorRaMrw+ Type—• Ptwarvetlw l or Tie at 4' cC+me" <br /> k w3 3 voA H 4.0 0-� aar'r -Y 6 x <br /> I I i I i f <br /> al Purge Volume Disposat/Comainment Method v <br /> ther Conditions <br /> ondition of Well Box and Casing at Time of Sampling <br /> ell Head Conditions Requiring Correction (locks damaged casing or well box, etc <br /> Problems Encountered During Purging and Sampling <br />�omments <br />