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' Date <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name x Z Well Number <br /> Project Number ' 7_:K!� G/ 2 0.�-6Personnel o C. <br />' GAUGING DATA <br /> Water Level Measuring Method��G ✓, , �� r� Measuring Point Description _, C� r _ <br />' Total Depth Depth To Water Water Column Multiplier For Casing Total Req'd <br /> Volume Purge Volume <br /> WELL (feet) (feet) (feet) Casing Diameter (gal) (gal) <br /> VOLUME ••• <br /> CALCULATION G f� /� �� 7 7 <br /> p 16 064 144 <br /> PURGING DATA <br /> I/ <br />' Purge Method 51r,l� . _ Purge Depth Purge Rate <br /> 'Twn'a <br /> S�tm�Pur9 <br /> er <�h`4,}3-SF Yj <br /> ti y3' �ieratUre�.:'�)$F t > :4•�� <br /> >� �jS 1..e ':`~'} F t` '}. n`} ,.}lam y�{•tr <br /> {%SpeiG.CC?f�FEiCt£t[�t n �N <br /> J.$nv'Y�'k41��G'Jw.k4n�}1}Sn}{ k4 r}`yry..} }ry xs i�3{fiWx <br /> +kU'4-.}.'4�^'}Sk`,a��8}3 <br /> Y n ryr ♦x j++�1N�ac�idv5r�nco�-wixt+xco rw{okt h v ki-n'tr4v <br /> j Or d eft dr <br /> ; <br /> �='}Vv}xfa u. Y <br /> s`,y�:yr'.�,5�<'3y�'��,� <br /> Urv;C••..v v,kj «3�,hK.. ry 2-.c�.,,F. ;n''.`,F'�.`�°,w�`.s is <br /> kr <br /> T".1 <br /> {ss£ r}4„ o L x f 3 j•7 O <br /> Cis w <br /> Comments/Observations 71-r T L L <br /> SAMPLING DATA Time Sampled / G <br /> p Approx Depth to Water During Sampling <br /> Comments <br /> e.r <br /> b cY a c v-4F ``' } he .r}c y+' o:i. o�3r:r xjsn$lat@� 8tf1r EG'W}u jati5-`ry „ate' <br /> `�`` � <`` � S <br /> l q�� i4�M.y~;' <br /> t �i.�vw}�'V�� 'Skfrerv�•s ]v <br /> yti"`„�+t� � �c } 4�;£}.� ..5$>,.`^.�:� �,�,.i�,� 'iz.5 ..}��ce,3,. �c v°i3'f[,'��')i�{rYOJk^ N'Ci{{G�i3��}2 Yy�.i,y{• 3' YS h '�}�'j'^�S'F'r F/4 3�� }?T3 ”' �35iv,} <br /> 7ssoFim[�Cf�r'M1 ��'R neo i„kPSBRCC,Yy8�±18 :warm AiILP S <br /> l��x.$.i <br /> u.t3 <br /> Total Purge Volume Disposal/Containment Method .61992/x,,,.. c o" S,,ri' <br /> Weather Conditions6 C <br /> Condition of Well Box and Casing at Time of SaVi /L _ <br /> Well Head Conditions Requiring Correction (locks, damaged casing or well box,etc)- <br /> Problems Encounters During Purging and Sampling <br /> Comments <br />