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GROUNDWATER PURGE AND SAMPLE FORM Date: <br /> Project Name � � 7 -, 9 U? Well Number. 'Yf <br /> Project Number �z 9�iZ �z•� Personnel. / -! <br /> GAUGING DATA <br /> Water revel Measunng Method. 4'r � /, Measuring Point Description- Z_a :z2 <br /> �2<' inC. <br /> i Casing Total Rep <br /> FWELL Total Depth ❑epth To Wattq <br /> Column Multiplier Far <br /> VOLUME (feet) (feet) Volume Purge Volume <br /> r Casing Diameter DIU (gal? <br /> CALCULATION 2 4 6 D .1 fi 0 fi4 1 44 l�3 <br />' PURGING DATA 1 <br /> Purge Method Purge Depth- .� <br /> _ 9 p Purge Rate�� ' <br /> Time <br /> 4 <br /> Purged Volume P w <br /> (gal} � ? f <br />' Temperature (°C} <br /> pH <br /> Specific Conduct#vity (}unhos) • �� <br /> Turbidity I Color '�` <br /> Odor <br /> Casing Volumes Removed <br /> Dewatered? •,a<<,` S <br /> Comments/Observations <br /> SAMPLING DATA <br /> Time Sampfed DC> . Approx Depth to Water During Sampling Z ` <br /> Comments- _ <br /> �'T'4� N.rio.r of carYiir„r �" -. strvQ+u Unow ca.r,of <br /> Hun*e,r Casaln�a 'rt - ' Vo4a�rf3+d '~-� N� C"-ady �•;- <br /> (ml a I} 7urCf6ry r Cm1or at 4 C 4yj $AwWLod Ckrnrrrns <br /> I � I I <br /> Total Purge Volume <br /> D�sposal/Conta�nment Method r 14,4[ ^r c �<- <br /> Weather Conditions l - - "-- <br /> onoition of Well Sox ana Casing at Time of Samaiing <br /> Well Head Conq,t-czs Recutring Correc•on (locks damaged casing or well box, etc ; �t <br /> Prot)lems S^caun•erea During Purg,ng and car-„-,,ng -� <br /> Cornmems <br /> 1 <br />