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' MRY-16-19% 15.37 EA NORTH SACRAMENTO 1 916 924 7468 P 09/17 <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> PrQ)ect Name A!� ••*� Well Number <br /> II <br /> Project Number: /_� Personnel <br /> GAUGING DATA <br /> Water Level Measunng Methodkk Measuring Point Descnptson �© - <br /> Cas+1) <br /> Req`d <br /> Vt1EtL Total Depth DeLtoater Water Column Mult�plfer for VoluVolumeVOLUME {feet) _ (fest} Cast meter {gal)CALCULATION 2V $ 0.16 0 64 1 44 �•� <br />' PURGING DATA <br /> Purge Method ' �t�+1��e--- Purge Depth, Purge Rate <br /> Time nve) 1 Fo -z /fid y O <br />' Volume Purges(gal) f •r� <br /> 'temperature(°C) <br /> PH ,�� .d .d <br /> Specific Conducuvtty(umbos) -I- <br /> Turbidity/Color /f <br /> M.I4 <br /> Odor <br />' Casing Volumes Removed <br /> Dewaterer <br />' Comments f otmervauons - <br />' SAMPLING DATA Time Sampled. Approx Depth to Water During Sampling <br /> Comments <br /> Votslrne ShpiG UnCer CtsAln of Iu�alys s <br /> Sample lVumher of Costmater Fiife4 � Custody Method Cgnvner <br /> Number C&Mners Type Piwarvatrwe miorf. Turbrday Atd <br /> �v <br /> 1 <br /> Total Purge Volume !4r.S' Disposal/Containment Method t •'u <br /> Weather Conditions -e OL, <br /> Condition of Wen Box and Casing at Time o1 Sampling <br /> Well Head Conditions Requxing Correction (locks, damaged casing or well box,CC) <br /> . Problems Encou tared During Purging and Sampling <br /> Comments <br />' p—PAOJ TMP PUR*a11%4 <br />