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GROUNDWATER PURGE AND SAMPLE FORM Date- <br /> Project NameWell Number- <br /> Project Number Personnel <br /> GAUGING DATA <br /> Water Level Measuring Method z G_ r �cc, �ic Measuring Point Description i✓ _,_� <br />' Casing Total Req d <br /> Total Depth Depth To Water Water Column Multiplier>ror <br /> WELL (feet) (feat) (feet) Casing Diameter Volume Purge Volume <br /> VOLUME v (gal) (gal) <br /> CALCULATION /� 2 6 <br /> L <br /> 016 144 <br />' PURGING DATA <br /> Purge Method f Purge Depth Purge Rate S <br /> Time <br />' Voi e Purged ` <br /> c.rrt ed {gad <br /> Ternperaftlie(qC) <br /> S cit=Conduct'stt[ty hos)` <br /> ' TurbWfty 1 Color' r r <br /> N . <br /> CiasingV,ottjmes,Rbmoved <br /> r � <br /> S <br /> Dewatered? - <br /> Comments/Observations <br /> ISAMPLING DATA Time Sampled Approx Depth to Water During Sampling3 <br /> Comments <br /> s�cnpte gssmrlwr f srar}taEner u rime11 <br /> shs ursder�ils trot V r} <br /> Gusiadg . Ara[ysas; <br /> —Mji hes c�r�ers- `rype P�eservadree• ml i} laF�id�t}r„ 'fia3oc g�d'C Y1t3} Ate3hot# ieni4 <br /> Total Purge Volume Disposal/Containment Method y� <br /> ather Conditions 4 <br /> dition of Well Box and Casing at Time of Sampling ,15 tieVt/ E <br /> Well Head Conditions Requiring Correction (locks damaged casing or well box, etc ) <br /> Problems Encountered During Purging and Sampling <br /> Comments t2/ <br />