Laserfiche WebLink
GROUNDWATER PURGE AND SAMPLE FORM <br /> Protect Name ��xdN Well No M V%/' Date <br /> ProlectNc S/S 3� G� / �y�� Personnel <br /> GAUGING DATA <br /> rWater Level Measuring Method ramieyk,r= Measuring Point Description <br /> Casing Total Req�d <br /> WELL <br /> Total Depth Depth to Water Water Column fvtuft#ierfor Volume Purge Volume <br /> VOLUME (feet) .. (feet) — (feet) X CasingDiameter (gal) (gal) <br /> CALCULATION — — <br /> 0 1610 64 11 44 <br /> PURGING DATA <br /> Purge Method VA CCA /2 i'r�c.Zi Purge Depth SCRE6-N Purge Rate ¢_� 5— <br /> Time- A - t L>15 t V��? [vimu�i� <br /> Volume Purges(gal)~ <br /> Temperature(° <br /> _Specrftc Conductivity(um[zos) <br /> Turt�,d ty/color= Y _ `f <br /> _ � <br /> AO -AIL <br /> Casing Volumes Removed f <br /> s Dewatered? <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled f v 4 Approx Depth to Water During Sampling -24 <br /> Comments <br /> Volume Shipped Under Cham <br /> _ <br /> Sampte Number of Container Filled of Custody at 4°C Analysis <br /> Number Containers Type Preservative r il_or t-t Turgidity Color M1 Method Comments <br /> Total Purge Volume &'e+L-C-ONS DlsposaVContalnmentMethod 7RRtLE T�Q 4L - <br /> WeatherConditions <br /> Condition of Well Box and Casing at Time of Sampling 0 lc <br /> Well Head Conditions Requiring Correction(locks,damaged casing Orwell box,etc ) <br /> Problems Encountered Dunng Purging and Sampling <br /> Comments <br /> 1 PMS PAOJ TEMP FOAMS PVAGE 10% <br /> 1 <br />