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MAY-16-19% 15 43 EA NORTH SACAf"ENTO 1 916 924 ?460 P 02/02 <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> Prosect Name Well Number- <br /> Prosect Number ��� �G T10 � Personnel <br />' <br /> GAUGING DATA <br /> Water Level Measuring Method., fl Measuring Point Description <br />' Casing Total Recta <br /> WELL Total Depth Depth to Water ` water Column Multiplier for Volume Purge Volume <br /> VOLUME (feet) (feet) (feet) X Casing Diameter (gal} (gal) <br />' CALCULATION [,f 2 4' 6 <br /> l L �D Z -I 0161064 1 44 3 V <br />' PURGING DATA <br /> Purge Method, Purge Depth Purge Rate <br />' Time <br /> Volume Purges(gal) , <br /> Temperature(0C) , <br />' pH r / <br /> Specific Conductivity(umbos) r��� 5 V J� <br /> Turbidity l Color <br /> Odor 1 <br />' Casing Volumes Removed f r� <br /> Dewatered? <br /> Comments 1 Observations <br />' SAMPLING DATA Time Sampled Approx, Depth to water During Sampling _Zi�w <br /> Comments <br /> r volume Shippea Under Chain c! <br /> Samosa Numoer cl Canner �, Cus otly Ansys,s <br /> Wo"r cw a hers Type Pre;amaUve �C TuruiClgr Color ata Coerments <br />' r <br />' Total Purge Volume -Wirzv.4 DmposaVContainment Method <br /> Weather Conditions <br /> Condition of Well Sox and Casing at Time of Sampling <br /> Well Head Conditions Requiring Correction(locks damaged casing or well box,etc) <br /> Problems Encou tered Dunng Purging and Sampling <br /> Comments <br /> Pira PPOI TVF PUFMA 14" <br /> TOTAL P 02 <br />