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z• - <br /> GROUNDWATER PURGE AND SAMPLE FORM Date <br /> Project Name ��zn/ Well Number <br /> Project Number _ .z -a�G3 Personnel , <br /> GAUGING DATA <br /> Water Level Measuring Method Measuring Point Description G <br /> CasingFToaVRcqmdTotal Depth Depth To Water Water Column Multiplier>=or Volume WELL (feet) (feet) (feet) Casing Diameter (gal)VOLUME .�.CALCULATION �/ 2 6 <br /> ��S rC� [ �� 0 16 6 144 <br />' PURGING DATA <br /> Purge Method !tom Purge Depthl�/ iii t� Purge Rate Jl' _ <br /> Time ' <br /> Vd4u:rne Purg6d{gale n <br /> p14 <br /> i Condualritr€ur�hos) <br /> Tctrbid4y 1100Gr <br /> { <br /> Casiiig.,V*tvt'e5 Remosrr~d G / �-- <br /> s � y. <br /> Dewate <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled Approx Depth to Water During Sampling <br /> Comments <br /> r-sample, 1kft�mbe[of` bort dor ; NF n u r ailed {` stepped ttrsder craalh of <br /> { rx <br /> frnhrr. Carrers' '} r rAreservatrne• #t[1i j T��fr+dit�r. Ola[ �ustad� , r AnaEys�sl <br /> a'C(Y1N;r Meitao� `�x��ts <br /> G � <br /> I <br /> Total Purge Volume �( _ Disposal/Containment Method <br /> 'her Conditions 4 <br /> ditton of Well Box and Casing at Time of Sampling a <br /> Well Head Conditions Requiring Correction (jocks, damaged casing or well box, etc ) <br /> Problems Encount red During Purging and Sampling <br /> Comments <br />