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a <br /> GROUNDWATER PURGE AND SAMPLE FORM <br />�i Project Name Weil No G ! Date <br /> Project No 5 15 '3 9 Personnel Lac,'6 L\/ <br /> GAUGING DATA <br /> Water Level Measuring Method ^/T ie fir' LOP-06r Measuring Point Description �6C <br /> WELL Total Depth Depth to Water Water Column Mu[tiplierfor Casing Total Req'd <br /> Volume Purge Volume <br /> VOLUME (feet} (feet) (feet) X Casing Diameter (gal) (gal) <br /> CALCULATION �. _ <br /> 4' j b I /9-aS -27 �J 0161064 1 44 7. Sv� -3 <br /> PURGING DATA <br /> Purge Method -V_C-L�LsdYY? i7Qccr K Purge Depth SClqj�e-eV Purge Rate 2 � <br /> Time"_ <br /> 1 Volume Purges(gal) /1-7 <br /> £� w <br /> 0 <br /> Temperature('C) " <br /> pH <br /> -7 fii <br /> �Specrfic Conductivity(umhZ.os)t (�(�c� �?1 L'� v9 <br /> Turbidity/Color t <br /> r _ UteyVlf Vx �UI <br /> Casing Volumes Rem vett ti <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled � � Approx Depth to Water During Sampling c <br /> Comments <br /> sample Number of ContainerVolume shipped Under Chain anal <br /> F=fled of Custody at 4 C ysis <br /> Number Containers Type Preservative mL or L Turbidity Color /N Method Comments <br /> IVOA HCL- ML- <br /> I I I I <br /> Total Purge Volume , � 6Ru-r�ly5 Disposal/ContainmentMethod 7-0 &Q6, L t- <br /> eatherConditions <br /> Condition of Well Box and Casing at Time of Sampling <br /> Well Head Conditions Requiring Correction(locks,damagedc, asing Orwell box etc) <br /> Problems Encountered During Purging and Sampling <br /> Comments <br /> PMS PRW.TSAAP FORMS PUAGEt0% <br />