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' ate: .Z�/ / <br /> 0 f <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name- -N 7 Well Number, f <br /> Protect Numt er• % '-7-mel Z 17�,- Personnel. <br /> GAUGING DATA <br /> Water Level Measunrtg Method y Z- Measuring Point Descnpton•T:7 � 1c <br /> Total Depth Depth To Water Water Column Multiplier For <br /> Casing Tota! Req dl <br /> WELL (feet) (feet) (feet) Casing Diameter Volume Purge Volurre, <br /> VOLUME _ V _ (gat) (gal) <br /> CALCULATION /� 2 I 6 <br /> 6� 2 �G3 7a7 O.Z6 064 144 3-� <br />' PURGING DATA > ' <br /> Purge Method _���.,� ?yam. <br /> l Purge Depth Purge Rate <br /> Time ;a; ':' - <br /> -,. 6 317 <br /> Volume Purged (gal) <br /> I <br />' Temperature (°C)- <br /> PH <br /> Specific Conductivity (µmetas) <br /> Turbidity/Color <br /> yN <br /> 0 or <br /> dor <br /> Casing Volumes Removed <br /> Dewatered7 •- �'�h.�,,'_t + / �� <br /> Comments/Observations <br /> I <br /> SAMPLING DATA Time Sampled Q <br /> p . Approx Depth to Water During Sampling 0 <br />' Comments: • _. _ r _ _. <br /> l�+kart*�iDv>ee. C[.onta4 s _ l�f,sr^rc-�ra_t�nrw �- - sr�ps,ano°n�1Chan atMrse. n! vole�111T <br /> Tpo uity <br /> cow at 4'C(Ytm crrr+rn-im <br /> Y�I y 9 I <br /> I I I i I I I <br /> t <br /> Total Purge Valurre LD DisposalYContainment Metnacs <br /> eather Conainons <br /> onditson at Well Box and Casing at Time of Samaiing <br /> Well Head Cana'c-is Pecurnng Correct on (locks damaged casing or Weil box, etc ; � — <br /> Proalerns E-coun•ereo Durzng Purgcng anc Samting - <br /> Corr ments t-- <br />