Laserfiche WebLink
GROUNDWATER PURGE AND SAMPLE FORM <br /> Project NameC�Kb Well No '�'ti't'L `� <br /> ,... ... , Date � <br /> Project No S15 �� �� • 1 �Ur� Personnel <br /> GAUGING DATA <br /> Water Level Measuring Method 0 " F Measuring Point Description 7-Ce-- <br /> Casing <br /> C%CCasing (I Total c{eq'd <br /> WELL. TotalDepth DepthtoWater Water Column Multiplierfor Volume I Purge Volume <br /> VOLUME (feet) � (feet) (feet) X Casing Diameter {gal} (gal} <br /> CALCULATION <br />' II 10161064 114 <br /> PURGING DATA <br />' Purge Method Vft CVc use/? i s c�K _ Purge Depth St^R-E7�51V Purge Rate 3 - <br /> Tore _ <br /> _ - <br /> Volume Purges(gal) <br /> Temperature(° © I Z l 4 <br /> L5pecsffc Conductivity(umhos)k be !_�/ /� J 5-2 <br /> TurbiditylColor "Yw:- ()L �` AJ <br /> T �(C�� c <br /> ccl <br /> -Odor ) <br /> .-Castng Volumes Removed x�'..=�`- � � �J <br /> r <br /> Comments/Observations <br /> 1 <br /> SAMPLING DATA Time Sampled Approx Depth to Water During Sampling <br /> Comments <br /> Votume Shipped Under Chain <br /> Sample Number of Container Filied of Custody at a°C Analysis <br /> Number Containers Type Preservative mL or L) Turbidity COW !N) Method Comments <br /> ft)`rY & VDA htG1- tomL- I IBUJ <br /> t � � <br /> Total Purge Volume 0 &At—ales Disposal/ContainrnentMethod T12atLEP_- o R.D6'-LC-- <br /> eatherConditions �~+ <br /> OOrNandtfion of Well Box and Casing atTtme of Sampling Q K <br /> Well Head Conditions Requiring Correction(locks,damaged casing Orwell box etc} 6 <br /> Problems Encountered Dunng Purging and Sampling <br /> Comments <br /> anis PRGU TrzmP FORMS PURGEtb% <br />