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1 GROUNDWATERDate <br /> PURGE AND SAMPLE FORM <br /> Project Name _�X�rct M 7- V..7 -- Well Number. <br />' Project Number SLl Personnel <br /> 14 <br /> AUGING DATA <br />' Water Level Measuring Method: <br /> Measuring Point Descnptlon <br />' Total Depth Depth To Water Water Column Multiplier For Casing Total Req d <br /> WELL (feet) (feet) feet Volume Purge volumeii <br /> VOLUME _ (feet) Casing Diameter (g�} (gal) <br /> CALCULATION r� —' X 2 4 <br /> �.L I Lt!�ijPURGING DATA <br />' Purge Methods Purge Depth_�G r�-2 Purge Rate (/lit <br /> Time r - Z ll � z <br /> t� IIZ <br /> 1 Volume Purged (gal) PW <br /> Temperature (°C) ' 2 G f Z tt O d <br /> 1 Specific Conducitvtty (µmhos) <br /> Turbidity/Color _ - - <br /> or <br /> Casing Volumes Removed O <br />' Dewatered? {� <br /> Comments/Observations <br />' SAMPLING DATA <br /> Comments Time Sampled 3� <br /> P . Approx Depth to Water During Sampling <br />' Sampie Nranber of coraainar Vehnr FiMd sFxpped Under Cham of <br /> Number Coxetrmre Type Preer e00- -(mi nr o Turbidly+ Color Custody Artiaiyw <br /> r at 4�C{YIN) 1Aethpd Caarnerxs <br /> 1 <br /> I <br /> Total Purge Volume Disposal/Containment Method <br /> Weather Condct:ons <br /> Condition of Well Box and Casing at Time of Sampling G/r <br /> ioHead Cona:tions Requiring Correc::on (locks damaged casing or well box etc ) �— <br /> len^s EncaUn'ered During Purging and Sarnwing !�1- <br /> collt`men-s <br />