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GROUNDWATER PURGE AND SAMPLE FORM 'Date: R-10 Z3 'R3 <br /> Project Name �Xxa-A V—S 7Well Number M <br /> Protect Number 837301.Al2 OZ-63 Personnel. ,3D <br /> GAUGING DATA <br /> Water Level Measuring Method- MA"-C- 20 h4t Measuring Point Description-To G <br /> Total Depth Depth To Water Water Column Multiplier For Casing Total Req'd <br /> WELL (feet) (feet) (feet) Casing Diameter <br /> Volume Purge Volume <br /> VOLUME ■rn _ _ (gal) (gal) <br /> CALCULATION 2 4 6 <br /> 3ct ,73 34.4 016 3 . � l3. -T- <br /> PURGING DATA <br />' Purge Method �°`4u�"� Tfuck Purge Depth 6011 6 Cac**Wurge Rate •" <br /> 1412 <br /> i rt+?4 r 454 + 4 w <br /> 4irged+(,g+LR <br /> M Ed ts U 2 <br /> A 10 <br /> 5 i <br /> yti4+ <br /> C4 h♦►r][,�7via_ ..Ss r,Y;�.�vj.� n�Jr"4 J V e <br /> 4�{rY�Tn`Inr`�F?4+Y+'44 4 'r{A+v^C�4�S rt <br /> GV�Ais3 <br /> �i4 vYr�g. <br /> st <br /> Dewer <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled Approx Depth to Water DuringSampling <br /> Comments <br /> SarAl�+4 •[�mber�Y, C�u#tefner Vartea'tai^�ted: S7x�pe�t�csdgtCtasltrOt 4Ana sis 4 , <br /> Nt=�w 0twMners—s Type emse (m nrl� TUrbidny �',ol�t gFn' � 11t�ha� SEs <br /> M W 1 3 voA t+cr 4d G(r •i �3� x <br /> row - <br /> tal Purge Volume l Disposal/Containment Method <br /> ather Conditions Shov�ars <br /> Condition of Well Box and Casing at Time of Sampling kf� <br /> Well Head Conditions Requinng Correction (locks, damaged casing or well box, etc) fjd J� <br /> Problems Encountered During Purging and Sampling N4�'"�— <br /> Comments <br /> i <br />