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' GROUNDWATER PURGE AND SAMPLE FORM <br /> ProlectName CxdN Well Rw ¢ <br /> .. 02te <br />' Project No S/53�1 2 , / �C�<) Personnel C H"9-15 <br /> GAUGING DATA <br /> Water Level Measuring Method Measuring PointDescnption 7—CIC <br /> WELL Total Depth Depth to Water I Water Column Multlplierfor Us,MnTotal Req'dVOLUME (feet) (feel) (feet) Casing Diameter rgeVolume <br /> (gal) <br /> CALCULATION4� �$ I <br /> -Z-2- c — 22 7 P d <br /> I <br /> 01611 0 64 I � 6T Q'3 11 <br /> I <br />' PURGING DATA <br /> Purge Method FGLc y�/? i�r cr.K -_ Purge Depth SCIeie7&W Purge Rate 2--3 <br />' Tune:_ ` <br /> l Z.0 4 <br /> Volume Purges(gal) <br /> Temperature(°C} ^� -- - ( �. 4 �{ [} 9.5- <br /> pH 2 <br /> to <br /> Specific Conducttvity,(um�os) (6-7 D <br /> -i'urbldrty/Color= _- M f�'` L�"•-� I 1 tr�•.f l'�•-� �u-J <br /> - c V�c>-+ LCQc r 12c,"r bur <br /> Casnng olumesRemoved-yµ~Z� I ` <br /> �Dewater`ed� `- —r z N� LJ'J 13 ND N v <br />' Comments/Observations <br />' SAMPLING DATA Time Sampled 1 Z1 b Approx Depth to Water During Sampling <br /> Comments <br /> volume II Shipped Under Chairs _ <br /> Sample Number at Container I Filled I 1 of Custody at 40C Analysis <br /> Number Containers Type Preservative mL Turbidity Color jjjj �yy Method Comments <br /> R'^' 4 I IVDA Hct* CML- I ru�- � �I <br /> I I I I I <br /> TotalPurge Volume <br /> ilV ---T <br /> - _rP <br /> eaiherCondttans CluJ tsposaonaoTb ROXL Cr <br /> Conditson <br /> of Well Box and Casing at Time of Sampling <br /> 61�— <br /> Well Head Conditions Requiring Correction(locks,damaged casing orwell box,etc ) <br /> Problems Encountered Dunng Purging and Sampling � <br /> Comments " <br /> Pu.5 PROJ TEMP FORMS PURGc'1696 <br /> f� <br />