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GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name C�Kb Well No `� Qat? A—/I`9� <br />' Project No Personnel <br /> GAUGING DATA <br /> Water Level Measuring Method �''/T�Rrc�4r c I�ie 0,SE Measuring Point Description 7—C---- <br /> Casing Total Req d <br /> WELL Total Depth Depth to Water I Water Column I Multiplierfor Volume Purge Volume <br /> VOLUME (feet) (feet) (feet) X Casing Dtameter al <br /> CALCULATION " — (gal) — (gal) <br /> A-3 .off ��-7 ° 2 . 57 ©' a 6� SIR <br /> 0161064 11 4T <br /> PURGING DATA <br /> Purge Method Vf+Cut_dL,2 i?c-cr K Purge Depth Purge Rate <br /> Time w = _ / ltv tr �1 t1f 1113 <br /> Volume Purges(gal) <br /> Temperature(°G}- .�-'= y �` .$' j ZU 0 <br /> pH <br />' Specific Conductivity(umhos):_ Lt �Z I 6 4 a IJV3 5b 34 <br /> Turbtdtty/Color <br /> Ll f4 .N6 N b <br /> " ,Zjo-r r <br /> Casing Volumes Removed [] l <br /> wDewatered,7_ &/C> <br /> Comments/Observations <br /> I <br />' SAMPLING DATA Time Sampled /t 2-a 2-0r <br /> p Approx Depth to Water During Sampling <br /> Comments <br /> volume Shipped under Chain <br /> Sample Number of Container Filled of Cuslady at 40C Analysis <br />' Number Containers Type Preservauve mL or L) Turb:dcty Calor reINI I Method I Comments <br /> Total Purge Volume plsposallContalnment Method -OZAi c.eT t7t-1. <br /> � 4- <br /> •Weather Conditions 0,6h <br /> Condition of Well Box and Casing at Time of Sampling <br /> Well Head Conditions Requiring Correction(locks,damaged casing orwell box,etc ) aU <br /> Problems Encountered Dunng Purging and Sampling KZ <br /> Comments <br /> PMS PRQI TEMP F6pMS.PUFiG'c 1056 <br />