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Fib x3 '43 <br /> GROUNDWATER PURGE AND SAMPLE FORM Date. <br /> Project Name:._ l�xxen r2S ?"3 r{�#z Well Number- _ P <br /> Project Number S373q AZ 02-63 Personnel- <br /> GAUGING DATA <br /> Water Level Measuring Method-_M'r^G Pro he Measuring Pont Description To c <br /> Total tDepth De th To Water Water Column Multi Iver For4442- <br /> asing Total ReqdP Polume Purge VolumeWELL (fe (feet) (feet) Casing Diamet (gal) (gal) <br /> VOLUME am _ X CALCULATION ��.�� �� .� �' ��•2s 4 o �s o sA 3 �1 <br /> PURGING DATA <br /> Purge Method Vo-e-yu n Tryck Purge Depth. FA Purge Rate All <br /> X544 <br /> 1 ,Y r3f- ~{kw Ji:•Er r{31}r _ `� /\l. at-Ac fD <br /> A. <br /> •M1�ilili""��/M3 �1 BMW#` <br /> + 9 v u��YI�I�CUY.M��rS X41 EF?h1'?'}r{syr 4$r�v <br /> z yszs•..",c.0 sEt'^"fir„vSn'�{s`{�.}�)L rr3,,.y` <br /> 4 \it r.v hri .�`.v EyU x rY'1'„y Z5 <br /> Devwa#er6d u 1cJ V <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled l6 D G 2Ap Approx Depth to Water During Sampling <br />' Comments N <br /> ,.+��_,r� ��rr��,,..,,``����pp , s� y� i OF MAOof <br /> .,til!*+ �r, =bw Y1'4 "Winnar 1 VYVL41�14 FC1G14 4 ` rytSr 'r } JJ�U.Rl� • M1 Anafiyw' <br /> Ntxr43er f t -Type {tta or if E iat��#siyr r ` SE a'C 1[ Meshwf r a teei� <br /> 3 von !ter -46 n-L /s?.,al `I TVWX <br /> I <br /> al Purge Volume t7 Disposal/Containment Method <br /> kot:atherConditions <br /> 5-S' <br />' Condition of Well Box and Casing at Time of Sampling <br /> Weil Head Conditions Requiring Correction (locks, damaged casing or well box, etc <br /> Problems Encountered Dunng Purging and Sampling <br />' Comments <br />