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' GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name Well tJc _UVLq;'1�L Date 11-11-Y-7 <br />' ProlectNe Personnel C .AQP! <br /> GAUGING DATA <br />' Water Level Measuring Method z (3�;r Measuring Point Description <br /> Casing Total Req d <br />' WELL Total Depth Depth to Water Waker Column Multiplier Volume ��PurgeVolurne <br /> VOLUME (feat) (feet) (feet) X CasmgDsameter <br /> .. (gal} _ (gal) <br /> CALCULATION <br /> 32 to 1 D 67 l 7� I S 13 <br /> PURGING DATA <br /> Purge Methed ACL'( /] Purge Depth SCIq-�e-eV Purge Rate <br />' Time--Volume Purges(gal) -- �- - �- <br /> "Temperature(°C) .- - 4 4 5. . O is - <br />' <br /> pH -7' <br /> - - < -- 7 <br /> - � l 74 <br /> , tom <br /> ,_SpectficConductivity(�mhos) ` �p� ( (p-2 <br /> Turbidity/Color - = 104 -f td`'J F 10—i <br /> =CasingVofumesRemoved'.—' O / J <br /> Dewatered*7 = M1 �__,� r' ' - C? Jv D L7 <br /> 1 <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled Approx Depth to Water During Sampling � - <br /> Comments <br /> Volume Shipped Under Cham <br /> Sample Number r Contpe Filled of Cus'ody ata°C Analysis <br /> Number Centamers Type Preservative (mL or Ll Turgidity Color (WINS Method Comments <br /> I � <br />' I I I I I I I i <br /> Total Purge Volume _ b+g�-LaN� Disposal/ContatnmentMethod -r9AtLE "tai •LLc-- <br /> Weather Conditions <br /> .c--WeatherConditionsCondition of Well Box and Casing at Time of ampling .fNa <br /> Well Head Conditions Requiring Correction(locks,damaged casing orwell box etc) E40 <br /> Problems Encountered During Purging and Sampling <br /> Comments �^ <br /> tPIKS PRQITZ.LIP FCRMs PURGc1G9G <br /> t <br />