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Date: Fc b 23 `ri3 <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> :Prolll <br /> ct Name E,txo n �S '7-39-47 Well Number - /� �� <br /> ct Number S373a �t2 OZ63 Personnel 3D <br /> GAUGING DATA <br /> Water Level Measuring Method "C rD h4t Measuring Point Description-To c- <br />' Casing :Total Req'd <br /> Total Depth Depth To Water Water Column Multip4Forolume Purge VolumeWELL (fest) (feet) (feet) Casing (gal) (gal) <br /> VOLUME _CALCULATION 2- 3Z.Tr5 �. 3c� 016 0 <br /> PURGING DATA <br /> Purge Method. yaciJurh Ti'yG� Purge Depth •�i11r_ Gmlum�'► Purge Rate -2- r-, <br /> TI 'It�Y, i3 l <br /> 1L) 4E— <br /> INZ <br /> v,, fEn4J,ti S`ti��sy', J <br /> 7`'�t� <br /> basma V* rtsa Ire vx v �'\ C) <br /> yss t r i <br /> Dewa#ere rj � �/ei <br /> 1 p i <br /> Comments/Observations �A� f o(- !G4T <br /> SAMPLING DATA Time Sam led t A <br /> p pprcx Depth to Water During Sampling 3 3 <br /> Comments <br /> �i�B¢Luttl6f Cta�ix 4? <br /> ` Seimpia,- W=t*t01': ciwnar VEntH clEed <br /> t NtkTber rters-! -ryilffpe SBN8iZY8� Attla $1S ` <br /> €t1uE} iuFb7dFt}r GiSfae 'CSfdi IyAetho+# <br /> 3 vo.4 1I-cl 4b A-L Ia7iz&)e <br /> TV N <br /> otal Purge Volume 4, <br /> Disposal/Containment Method <br /> Bather Conditions <br /> Condition of Well Box and Casing at Time of Sampling <br /> Well Head Conditions Requiring Correction (locks, damaged casing or well box, etc} NGt' T <br /> Problems Encountered During Purging and Sampling PCVdA)GQS_ -SLgWLAo�G�cct�rs <br /> IComments <br />