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GROUNDWATER PURGE AND SAMPLE FORM <br /> ProlectName C'�xb Well Na til Data !1-11-17 <br /> Project <br /> 1 Personnel <br /> GAUGING DATA <br /> Water Level Measuring Method 1;170 RF,4?f_c' Measuring Point Descr ptlon <br /> asing Total 'd <br /> Req <br /> C <br /> WELL T°tai Depth Depth to Water Water Column Multtollerior Volume I Purge Volume <br />' VOLUME (feet) (feet) _ (feat? X Casing Diameter (gal) <br /> ) <br /> CALCULATION <br /> 9-4 1 2 6 1 k �s SS 63-78 <br />' olslo �4 � � �.^, <br /> PURGING DATA <br /> Purge Method /i CLc 1- c ci Purge Depth S'CRie-FN Purge Rate <br /> Time--- - ?4.0 ¢3 940 9 ! <br /> Volume Purges(gal) r fl {o <br /> -Temperature(°C)r1 �.'; ~_ 1, X `t 1 I LAI, IpH <br /> -7 —7 57, <br /> n <br /> _y5peciftc Conductivity(umbos)_`_Y Itp�� I �� + 6-7 g <br /> feml <br />' .Odor; <br /> Oasing VolumesyRerrioved; .�'N <br /> Y Dewatered7 sY~._ i_ `' ? - __ AJ v Nv v N� <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled 5 Approx Depth to Water During Sampling ;:Z:2- r <br /> Comments <br /> Volume Stupped Under Cham <br /> Sample Number of Container Filled of Custody at 411C Analysis <br /> Number Containers Type I Preservative mL or Ll Turbidity Color RJl Method Comments <br /> PW I VDA C �-rn>- I t o t,.� I t J L 9 �� <br /> iI I �J LL_ <br /> Total Purge Volume Dtsposat/Contalnment Method TRAIL- 7`0 RU A 1.c-- <br /> lilll� <br /> Weather Conditions <br /> Ianddlon of Well Box and Casing at Time of Sampling O K <br /> ell Head Conditions Requiring Correction(locks damaged casing orwell box,etc ) c) <br /> blems Encountered During Purging and Sampling /Vt-) <br /> ,meets <br /> J TF-W FORMS PURGc10% <br />