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/ �- <br /> Oaie <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Names�`�' 7 �!U? Well Numiaer- fz W I <br /> Protect Number -7 ,.orate <br /> Personnel / / <br />' GAUGING DATA <br /> Water Level Measuring Method--- MeasuringPoint Descn i o c L,G <br /> pion �.O o <br /> Total Cepth I Depth To Water Water Calumny Multiplier For Casing Total Req d <br /> WELL (feet) (feet) (feet) Casing Diameter Volume Purge Veturrs' <br /> VOLUME .w. _ v _ (gat) (gal) <br />' CALCULATION � � � � � "— / /\ 2 ' I 6 <br /> 0.16 0 64 144 1 _ V 7�. <br />' PURGING DATA i <br /> Purge Method , ��.�> r�r /c Pure Depth G <br /> _ r _ g p Purge Rate �Y -5 .�.------ <br /> Time =--=rw.-:_ <br /> pr. <br /> Volume Purged (gal)Temperature (-C)-pH <br /> O <br /> Specific Conduciivfty (µmhos) 7Sk <br /> Turbidity!Color <br /> - <br /> Odor <br />' - Casing Volumes Removed ; / 3 <br /> Dewatered7 <br /> fti <br />' Comm <br /> enis/Observaitons <br />' SAMPLING DATA <br /> Time Sampled. . 1 �[;�_ _ Approx Depth to Water During Sampling. <br /> Comments ? <br />' Sarm&a [i.r+b.ro! C4t,hrr- :, _ l r _ SJ�paatJaaerQ,e,ncr _ _ - <br /> i kar�r _ _,- r vott�sw Fd�d ? - = CU= Ma1+y—- , ; , ,«.- <br /> CAntalnwe Tppm - �Prawersrtw (ml or(] Turb" Cokes at 4'C(Y" wbntod 4 C *smrxs <br /> vee <br /> I I I I I I I I <br /> Total Purge Volume DisposaVConrainment Metnoo <br /> Weather Cancit�ans <br /> anoitian of Well Box ani Casing at i ime of Samwing � <br /> Well Head Canc,•,ons Recuiring Carremon (tacks darnaged casing or weil box etc ) — <br /> Praaiems E^ccun•ered During P_rc,=ng and Sampling —� <br /> Ccrrments <br /> 1 <br />