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i <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> Protect Name C�Kb� Well No _ V � Date <br /> iProject No Personnel CF fel . CEl4 Wy'p-N <br /> GAUGING DATA <br /> Water Level Measuring Method "/T=RF9LZy ; Measuring Oolnt Descnptton i C <br /> Casing I I total Req d <br /> WELL Total depth Depth to Water Water Column Multipl,ertor Volume Purge Volume <br /> VOLUME (feet) (feet) (,eat) X Casing Diameter (gal) {gal} <br /> CALCULATION i — — <br />' 10 16 1 d 64 1 1 44 <br />' PURGING DATA <br /> Purge Method 4CC.1_ n Purge Depth Purge Rate <br /> Time= - I ! C� q 2'1 I q2 I <br /> Volume Purges(gal) I U 3 <br />' Temperature Co C) � � td 7�0 <br /> -7 <br /> `7 4! -7 Cpl 7 "71 <br /> lie SpecrficConducttvtty( mhos)F_'r ��� - � C� '� t Z -169 <br /> Turgidity/color <br /> - <br /> Odor t..-- . . ��_ -<� .- t-�,�5 L'�S �.•�5 I-f-Casing Volumes Removed Y" -a e' I r 1 <br /> �Dewatered'7 ' - <br />' Comments/Observations <br /> SAMPLING DATA Time Sampled 43s" �-� <br /> p Approx Depth to Water During Sampling <br />' Comments <br /> Vo <br /> Snipped Under Cham <br /> Sample Number at Container Filled ct C stud!at 4 <br /> 0C Analysis <br /> Number Containers Type Preservauve fmt_or t_t Tvrcidity Calor INI Method Comments <br />' 2 IVDA f HC_f_ Ti✓rnL. I I rLtkq I rftw �� <br /> I <br /> I I I I <br /> Total Purge Volume 1 Lt-0t'jS Dlsposal/ContalnmentMethod . TiE <br /> t C. g 7—o IQU(t tLc- <br /> � bFl <br /> WeatherConddtons "�^^ <br /> Condition of Well Box and Casing atTime of Sampling p <br /> Well Head Conditions Requiring Correction(locks damaged casing orwell box,etc ) r�-, rte• <br /> Problems EncounteredDunng Purging and Sampling <br /> Comments <br /> PM5 PROD TEMP FORMS PURGEIC% <br />