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GROUNDWATER PURGE AND SAMPLE FORM Date- .Z <br /> Protect Name -z �' 7 79</7 Well Number <br /> Protect Number -7 Personnel <br />' GAUGING DATA <br /> Water Leve! Measunng Method.�t <br />' - Measunng Point Descnptlon 1;7 c L,� <br /> Total Depth I Depth To Water Water ColumnMulUpiler Far Casing Total Req d <br /> VOLUMEWELL (feet) (feet) (feet) Casing Diameter Volume Purge Volume <br />' CALCULATION 2?7X 2 I 6 (gal) (gal) <br /> 7� �� • 3 0.16 1 0.64 I 1 44 Z_7 <br />' PURGING DATA <br /> Purge Method <br /> Purge Depth- - Purge Rate <br />' Time <br /> Purged (gal) <br /> Temperature (°C) _. <br /> pH <br /> Specific Ca <br /> spm rtductiv�fy {wrr�°s) AIPW <br /> Tvrbfdity Color Y_ R 4 aCY <br /> • '� <br /> Odor <br /> 1 - Casing Volumes Removed <br /> Dewatered? <br /> 1 - - - <br /> Comments/Observations <br /> 1 SAMPLING DATA <br /> Time Sampled. Approx Depth to Water During Sampling <br />' Comments- <br /> ... <br /> - - <br /> s ie Ma mer of comak�,r , , vel sm F under(Te,n at <br /> IWa+ria+. - - ; <br /> Ccrxalr,r�= Typr - 'Ptar�ntrwa (Irtt or� T-ttlddy C41or Cusindy Mrbjss: .- <br />' at 4-C4YfM Mratod Ccerrrru <br /> Total Purge Volume <br /> weather Candatians <br /> Oisposal/Containment Metnod c - r.`-r <br /> �� •_ <br /> onduson of Well Box ana Casing at Time of Sarnaling <br /> Wel! Head Canal. <br /> lc-%s Pe_uiring Carrec;an (locks da+-naged casing or well Cox etc ,, — <br /> PfUclems Brceun-erg C,.nng P.rgcng and Sar�;imng <br /> Corr--ents '� <br />