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GROUNDWATER PURGE AND SAMPLE FORM Date-. Fib 23 '93 <br /> Project Name: EXY0'A i2S '72 �{-4ZL Well Number � �Z <br /> Protect Number ?3730k42 0263 Personnel: <br /> GAUGING DATA <br /> Water Level Measuring Method- M AI-C- Pro ht Measuring Point Description-TO G <br /> Total Depth Depth To Water Water Column Multiplier For Casing Total Req'd <br /> ( <br /> WELL (feet) (feet) (feet) Casing Diameter <br /> Volume Purge Volume <br /> fe <br /> VOLUME .w -- <br /> (gal) (gal) <br /> CALCULAT304�g �. �9..� ?_0. ;7 2 s `r <br /> 016 U sa 1 <br /> PURGING DATA <br /> Purge Method Vo cuum Try c.V-- purge Depth. �+,( CaLwih Purge Rate. <br /> 13 <br /> �L�Y }Iii l.n'rAi' 327y�[A''{�}f r4 +•'• 5j <br /> ♦dry.��+�ki }r ,ry{ rk. <br /> 79 <br /> }Yn <br /> �a�tt€ �IF��#�fG � �r• ✓ <br /> •ti i'ar ttm•..:awe',. ., e `{ 'y+ <br /> hr, .,,r.„ ry s.;a'a{rte •w t{ <br /> M ed <br /> Deem' > l 4 A! a <br /> a <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled d A rox Depth to Water p pp p e During Sampling <br /> Comments <br /> AxDe "5rM <br /> erg yYte van€la�tie t Eiiteu fU di carsaot berarContainer 113 aeFCtCWtody�l�kTaeoiCf r��irror h <br /> ss <br /> boelmw <br /> COMM" <br /> 3 V OA 1+c1 -ID ,Sti �� Ta W x <br /> tal Purge Volume _ �S- " _ Disposal/Containment Method <br /> 60eather <br /> Conditions <br /> Condition of Well Box and Casing at Time of Sampling <br /> Well Head Conditions Reguinng Correction (locks, dama ed casing or well box, etc) <br /> Problems Encountered During Purging and Sampling <br /> Comments �1 � _ <br />