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M — <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> 1 ProlectName E�Ko'-y Well No rr t�'1 Data 'I- <br /> p rojectNo <br /> I-ProjectNo 6-/5367 Personnel Cf.'Q6 <br /> GAUGING DATA <br /> Water Level Measuring Method Measuring Point Description JCS' <br /> Gasrng Total Req d <br /> WELL Total Depth Depth to Water I Water Column Multiplleffor Volume Purge Volume <br /> VOLUME (feet) .r (feet} — (feet) Casing Olameter (gal) _ (gal) <br /> CALCULATION 2 4' I 6 <br /> 0161064 11 44 <br /> t PURGING DATA <br /> Purge Method AGc-c /j i70—c-cr Purge Depth SCREE=N Purge Rate <br /> Time-,- h - - ' l 2 2� <br /> Volume Purges(gal) <br /> -'Temperature(-'0 C)'; <br /> =SpecrficConducttvlty,(umhos)_<. ,n -7x 71 -7,-3(., <br /> 1 . �Itildltyrcolor -} <br /> tzc„Y i.�u l C�11� Y `fie It Ll---- <br /> -, <br /> Odor-, <br /> CasingVolumesRemovedx�-�,M= �) <br /> ^Dewat- 7 ;-T =_ <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled c� Approx Depth to Water During Sampling <br /> 1 Comments <br /> 1 Volume Shipped Under Chain <br /> Sample Number of Confasner Filed of Custody at a°C Anatysss <br /> Number Containers Type Preservative mL or U Turbidity Color IN1 Method Comments <br /> Total Purge Volume DlsposaVContalnmentMethod TP-A+C_E- T-0 <br /> • <br /> Neather Conditions <br /> ondthon of Well Box and Casing at Time of Sampling C)_-r- <br /> 1 ill Head Conditions Requiring Correction(locks,damaged casing orwell box etc ) !V J <br /> 5lems Encountered During Purging and Sampling f`.J <br /> irtients <br /> �U TEMP FORNI&PURGEiM <br />