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ate_tGROUNDWATER PURGE AND SAMPLE FORM Date- <br /> IL <br /> Project Name Well Number t/ 2 ' <br /> Project Number Personnel <br /> GAUGING DATA ,�� <br /> Water Level Measuring Method Measuring Point Description <br />' Total Depth Depth To Water Water Column Multiplier For +6 =: <br /> Casing Tatal Req d <br /> WELL feat feet Volume Purge Volume <br /> (feet) ( ) (feet) Casing Diameter <br /> VOLUME � _ X (gal) (gal) <br />' CALCULATION � �� / ./� 4 07 084 t <br />' PURGING DATA <br /> Purge Method Purge Depth Purge Rate 32!�Roi <br />' Vowime~Purged {gaq <br />' ,Tet�peratti��°t✓j��~Y - ,.. � � .S � <br /> PH <br /> IL <br /> Ste. <br /> t �{ <br /> Turbica Gofdr~ <br /> 'Gasir�g.�atu��A�rirtovedry" �c. <br /> .s <br /> Dewsatered? <br /> IComments/Observations <br /> SAMPLING DATA Time Sampled Approx Depth to Water DuringSampling <br /> p 9 <br /> Comments <br /> "SIM i un�eroC~ ~Gontafner u tMd ' " I sp r3c,ao�ctrsin�t , <br /> h~ Y iusEadr� Arrafysis� <br /> 1+httrrber ,C�ners `T}+#te ,Fres�nacve (naE ,j} �u�idRy -�"csfatA<: 'grd'C�y,�[� :Mei>aai#; ' ~� ` <br /> I r <br /> { <br /> Total Purge Volume Disposal/Containment Method <br /> 111 ather Conddions l� <br /> dalon of Well Box and Casing at Time of Sampling ,ctJ <br /> Well Head Conditions Requiring Correction (locks, damaged casing or well box, etc ) <br /> Problems Encountered During Purging and Sampling k� <br /> Comments �� <br />