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GROUNDWATER PURGE AND SAMPLE FORM Date XZ 3eY <br /> Protect Name �xxcIrr Wel! Number Z- <br /> rolect Number �3_7�?.`r'� bz G Personnel <br /> AUGING DATA <br /> Water Level Measuring MethodrAIrr9orc.Frr,6e Measuring Point Description C– <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= ..� — X <br /> ALCUI_ATION �. n�. Zq q 4 6 — <br /> 0 16 064 t 44 •�7 j O, r <br /> URGING DATA <br /> Purge Method -,i )rv"j65,. Purge Depthwe Purge Rate 7 <br /> T��ne r i �2,06 t201 f 2 1 2 JZa 3 <br /> fk tmePur9ed'�9 > n'irh 3 �7 <br /> { Y <br /> i 'e'rxtperaturas(nC) Z(_v 7-Z.C) 2_ 7_0 Z z. 0 <br /> �7. a <br /> ;C 66haucfiw(y m 1 x ;lro 6 ro To ( 5 6 9 v <br /> • h4�.r, r�.y r ?4V��n ti tiny;r xC y� �+M1 ryn ./_ <br /> t[`�1��Qf4r``t;',.�.n��}r'�iv:V'-� Irj,7L+• <br /> ;aJ.;U y f <br /> fy'i 2}"Y"{�hYw;JS 3 yYsvYt..x�r3,.a$i j¢''�"r�l <br /> q­- <br /> -3, <br />�."`}>ivi-••{pSw S HJ�+�[�r¢'�"tS+u rtt K?} <br /> tomments/Observations <br /> MPLING DATA Time Sam led (Zr _. <br /> p Approx Depth to Water During Sampling: rP <br /> Comments: <br /> ft*'n}`tri-o "�3ireywm-.�r r� Y¢ rays£fiY�ft VIA.-Ka2ri.,riy,a: <br /> �e-�x57Cr r� o-,nk� 'ri`�c= y r,,. r YT"Sc Y"3o-�, �n�a'aa vts<.rrr 1,{-rr�- <br /> xr r en`2�. err, eY,y,,.Y Y.- } � ?„a.,cayr.,yY+�sNa`; d4.o-• a✓;:S[�..,,,.r <br /> E r +r -V'Ar � cc..,, <br /> r SYSYr'y,c�,.i' fr Yrrrr}riki <br /> ` �i�' rE$Pr'nryn»;• c f <br /> w, '{`.,�'[�fEt gE�[3�.r 3S4' ooh?}, � ax �` 1 ;,'0}.`^, 7f51��"32' jn, f �S S rh°,°` Vi•'`- 4 1n °r,'�� <br /> vh r^w2 xrhrrHLrY <br /> Z t � <br /> al Purge Volume. It Disposal/Containment Methods TJ./a++•*� _ <br />-Vir Conditions: <br /> nof Well Box and Casinglt Time of Sampling: t tLAj �✓ <br /> h Head Conditions Requiring Correction (locks,damaged casing or well box,etc) <br /> terns Enco nt red During Purging and mphng <br /> Qrnments <br />