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I � <br /> GROUNDWATER PURGE AND SAMPLE FORM pate: <br /> Pmiect Name- QXYo'n 12S 7-�94L Well Number �r <br /> Protect Number 8373`1 42 0263, Personnel- -UD <br />' GAUGING DATA <br /> Water Level Measuring Method M C- Ef0h4t Measuring Point Description ��G <br /> Total Depth Depth To Water Water Column Multiplier For Casing Total Req'd <br /> WELL (feet) (fest) (feet) Casing Diameter Volume Purge Volume <br /> VOLUME X (ga!) (gam) <br />' 11 <br /> CALCULATION 3(. f �a- g,� 8 . 3 A <br /> 016 <br /> C 144 1. 32- <br /> PURGING DATA <br /> Purge Method vacuum Truc-k Purge Depth F✓I� �y�^'"'� Purge Rate <br /> Tim <br /> >'+x,,,� <br /> OR <br /> v} <br /> Co <br /> �r . {`�V,,:ku <br /> -TU Co61r- <br /> nvtlxv <br /> ... �'..{. x0.x�t h+M1 ii , •x e , <br /> }4 Y 4 Y4 1 e <br /> De+l er r .YE~' 00 \lP <br /> Comments/Observations U44'Crs IV;c/(L <br /> ISAMPLING DATA Time Sampled r 2 U A r <br /> p pp ox Depth to Water During Sampling �- <br /> Comments <br /> Sample- i�ruaF;ec�Cr �t�nec' Vaira�te t+i�e� �ipPec#tlrs�er Gtsa�n pt <br /> ecu � , �tnatys+s• <br /> Aicttrbw CbrMrw!r - Type 3meftvauft imiorl� `Fuft4ny` Ofar c r Js+letfif �t <br /> V,4 3 VOA 46 A-L 1"70W <br /> TpN - <br /> tal Purge Volume 7 '1 c-I _ Disposal/Containment Method co*"% <br /> 6c(eather <br /> Conditions L< i_ 51-16 _ <br /> ICondition of Well Box and Casing at Time of Sampling <br /> Well Head Conditions Requiring Correction (locks, damagecasin g or well box, etc) <br /> Problems Encountered During Purging and Sampling <br /> Comments <br />