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' MRY-16-1996 15.40 EA NORTH SACR LENTO 1 916 924 7460 P 15/17 <br /> DateS% <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name __ Well Number <br /> r -- <br />' ProlW Number S/ ��/ dy Personnel <br /> GAUGING DATA <br /> Water Level Measuring Meth(—:;z Measunng Point DescriptionCas <br /> WELL Total Depth Depth to Water Water Column Multiplier for Va uReq d <br /> oe <br /> me PurgelVolume <br />' VOLUME (feet) (feet) _ (feet) Casing Diameter (gaq (gal} <br /> CALCULATION �1 <br /> � i2 4 s � y � <br /> 0 Ira 0 64 1 44 �. S <br />' PURGING DATA <br /> Purge Method a�tiL _ _ Purge Depth_„ u Purge Rate. <br /> Time <br /> tVolume Purges(gal) <br /> Temperature(°C) f <br /> I'y <br /> Spectlle Conductivity(umhos) s Jr-- - <br /> Turbtdlty/Calor J� <br /> Odor <br />' Casing Volumes Removed - <br /> Dewatered') <br />' Comments / Observations <br /> SAMPLING DATA L <br /> Time Sampled Approx Depth to Water Dunng Sampling—Pa.._ _ <br />' Comments <br /> sample Numbwof Connwmr Vcrume Sr3CpedU ocrCt�ah+of Anel <br /> Nurnper Containers Type Prasermdve Lo Turmiry Calor atC ct M \ Mevn comments <br />' � <br /> Total Purge Volume •islassaUGntainment Method <br /> Weather Conditions. <br /> _ •_ 1.,�.a.rrr.— _ _ _ — <br />' Condition of Well Box and Casing at lime of Sampling <br /> Well Head Conditions Requiring Correction(locks, damaged casing or well box, etc) <br /> Problems Encou aced During Purging and Sampling <br /> Comments <br /> PL"PROJ TMP PVAc;Gi g94 , <br />