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GROUNDWATER PURGE AND SAMPLE FORM Date
<br /> Project Namexy��,�r 7— 3`iyZ- Well Number
<br /> Project Number ri'3 7 35 412 02-6_7i Personnel
<br /> GAUGING DATA
<br /> Water Level Measuring Method/ML-1 Measuring Point Description
<br /> Casing Total Req'd
<br /> Total Depth61D)eptho Water Water Column Multiplier For Volume Purge Volume
<br /> WELL (feet) et) (feet} Casing DiameterVOLUME �/ {gal} (gal)
<br /> CALCULATION ` ` �} f ^ 2 4 6 ��O �� � . 0 �6 � �4 , 44
<br /> PURGING DATA
<br /> Purge Method a 1L Purge Depth.^---e.r-a Purge Rate
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<br /> Comments/Observations [ arm,yr-c 7-P'- 5 zee-j-..-r- haaT z/L T
<br /> ISAMPLING DATA Time Sampled Approx Depth to Water During Sampling
<br /> Comments
<br /> vvi..+i i• v'�{v ry,4 nt`.tm^J a.Af� r+wA$, Y.k:ASY]} ++A4469 NiyT� }r+ � e{ �i^ 4�k f v}+
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<br /> Total Purge Volume Disposal/Containment MethodS�,f_�r••�^o
<br /> Weather Conditions eLZ'00 Jza.'� ^
<br /> nddion of Well Box and Casing at Time of Sampling a4 ...
<br /> Well Head Conditions Requiring Correction (locks,damaged casing or well box,etc) Gc�io f r9!rfc��
<br /> Problems Encountered During Purging and Sampling tv
<br /> Comments
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