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I' MRY-16-19% 15 36 EA NORTH SPCRFtIENTO 1 916 924 7460 P 07/17 <br /> Date, ofoers r t-- <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name Well Number <br /> IProject Number Personnel <br /> GAUGING DATA <br /> I <br /> Water Level Measuring Method�r Measuring Point Descnption <br /> Casing Tatal Req'd <br /> WELL Total Depth Depth to Water Water Column <br /> Multiplier far Volume Purge Volume <br /> VOLUME (feet) (feet) — (feet) X Casing plameter (gal) _ (gal} <br /> CALCULATION r 2 4 6 <br /> gL � a1slo64 z.aa .�� /7s <br /> PURGING DATA <br /> Purge Method Purge Depth, ^"-- Purge Rate. <br /> Time el 2f <br /> Velums Purges (g2tl) . <br /> dF <br /> Temperature(°C) ?G lz c+ <br /> PH <br /> Specific Conductivity(urnhoS) �f Q <br /> Mi'urt}ldiry!Color � <br /> Odor <br />' Casing Volumes Removers <br /> Dewatered7 <br /> Comments / Observations 40' !! <br /> ------ <br /> SAMPLING DATA Time Sampled Approx Depth to Water During Sampling' �--� <br /> Comments <br /> volume sr4w under Cham of Anaryas " <br /> sample Number at Conia,ner Cu&Ze Method CeR,�e,ens9 <br /> NumOer Canwners Type PM30MEWro �i- T W�ty Calor at4°C Y <br /> LAO <br /> Total Purge Volume - MsposaUContainment Method <br /> Weather Conditions {� <br /> Condition of Well Box and Casing at Time of Sampling <br /> Well Head Conditions Requiring Corre=n(locks,damaged casing or well box,etc) <br /> . Problems Ericclurfered During Purging and Sampling <br /> Comments <br /> ' Ift— <br /> PIVIA Pi1DJ TMP PURG91294 <br />