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GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name ��` xbr Well No Da'a 1—tL`47 <br /> Project Na Personnel 15 if t,4 <br /> GAUGING DATA <br /> rWater Level Measuring Method L/TC RFQ(-, Pje,,)ct Measuring Point Description <br /> Casing Total Req,d <br /> ELL Total Depth Depth to Water Water Column 4lultipllerfar VolumeI Purge Volume <br /> LUME <br /> VO <br /> (feet) _ (feet) X Casing Diameter (gal) <br /> CALCULATION <br /> 21416 <br /> 10161064 114T <br /> PURGING DATA <br /> Purge Method VACL-U,r/qSRC r� K Purge Depth 5'C �-N Purge Rata 3 -3 <br /> Tune <br />' Volume Purges(gal)-,' d I {2 <br /> Temperature(0 C) ,�s%- - f to . I , O 1 9�D -ZU D k <br /> Specific ConducUvlty(umhos) t <br /> „Tur6tdity/Color` -;�µ-f.fw +cam �tfty L.rw It^-�' <br /> C x''-011 <br /> Odor <br /> Casing Volumes Re -F moved <br /> �Dewatered'? �s- - r� �� c !(1 (\fb I <br /> - F. _" --- <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled D Approx Depth to Water During Sampling �-I <br /> Comments <br /> Volume Shipped Under Cham ^ <br /> Sampla Numbero! Container Filled of Custody al 4°C Analysis <br /> Number Containers Type Preservative (ml-or Ll Turb diry Color rys <br /> 1vo� Method Comments <br /> Hcy �nrnL � «J,,r� k GLS � �� <br /> k I i k I k I I <br /> Total Purge Volume &fL-t-QtS Dtsposal/ContainmentMethod -rP-A+C.Cg_ T17 - <br /> Y.WeatherCondittons �M <br /> Conditton of Well Box and Casing atTime of Sampling O <br /> Well Head Conditions Requiring Correction(locks,damaged casing Orwell box,etc )s!4 <br /> Problems Encountered Ounng Purging and Sampling C.,z <br /> Comments <br /> PM5 Pa0.1 TEMP FoRmS wpcelo% <br />