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GROUNDWATER PURGE AND SAMPLE FORM Date <br />' Protect Name.4E- / _ Well Number <br /> Project Number Personnel- <br /> GAUGING DATA <br /> Water Level Measuring Method "f- Measuring Point Description _Z:22 G <br /> Total Depth Depth To Water Water Column Multiplier For Casing Total Req d <br /> WELL feet feet Volume Purge Volume <br /> (feet) (feet) (feet} Casing Diameter <br /> VOLUME .,., �/ _ (gal) (gal) <br /> 1 CALCULATION � L _ ~ '�� 1, 2 6 r ��/) <br /> C4 <br /> o ys as � <br /> PURGING DAA <br />' Purge Method f Purge Depth lU� li/l„ti Purge Rate IYL� <br /> Time <br /> Volume Purged�gafy •4 i <br /> /y <br /> TeIpe wuha�OCJ <br /> PH' : . Y <br /> St—' id=- ity(Itmhos). /7 <br /> M1i i { <br /> Casal- V*1u ?e -Re`tTov6d <br /> Demme€ea? vW �tJ <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled ��..,,��''JJhh 7 <br /> p (J7�,_.. Approx Depth to Water During Sampling <br /> Comments <br /> 4`sample Numbw or -c4htafnlw t �! tffed `" ~, xp�esf[frtderx;tiadtrot n <br /> Nt=ber i Xan;iners 'Type pmServabze~- ami Iry 3iiEiaidrtg fir• + �asE . �+xsafys3s <br /> aid'C,Y1N�'. lifieiho�' - ��r[e�ts <br /> i <br /> I <br /> Total Purge Volume 7 Disposal/Containment Method ,"T <br /> ather Conditions 4 <br /> dition of Well Box and Casing at Time of Sampling <br /> P <br /> l Head Conditions Requtring Correction (locks, damaged casing or well box, etc ) <br /> Problems Encountered Dunng Purging and Sampling -It—/ <br /> Comments <br /> I <br />