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I <br /> ETIC ENGINEERING <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> ProjectName E XXOA1 WellNo rn Lullate '-2 " q <br /> 101 Pro ectN �� / Pe nnet: &2l-/`S <br /> j a [�c.��3 rso <br /> IGAUGING DATA <br /> IWater Level Measuring Method. C Measuring PointDewription:. 'rh:f � <br /> Casing Total Req'd <br /> WELL Total Depth Depth to Water Water Column Multipherfor Volume Purge Volume <br /> VOLUME {feet) _ (feet) _ (feet) X Casing Diameter (g�) (gam <br /> CALCULATION n _ y <br /> U -p f � "t � 1 �J - � U 2 6 �� � 2b• �� <br /> 016 0 64 1 44 to <br /> PURGING DATA,r <br /> IPurge Method Y n �l�C _ _. Purge Depth Purge Rate 41 ALL- <br /> Time <br /> L -Time t-24 -7 <br /> Volume Purges(gal) 10 2Q <br /> Temperature(°C) F ,-_-;,1A<r< 7 d�Ll <br />� . Specific Conduchvity(umhos) <br /> Turbidity/Color <br /> IOdor =` <br /> =Casing Volumes Removed,, p 7j p <br /> <� <br /> I Dewatered "•9 N <br /> �x <br /> IComments/Observations <br /> SAMPLING DATA Time Sampled 12�J� Approx Depth to Water During Sampling AS <br /> Comments <br /> I volume Y+ Stopped Under Chain <br /> Sample Humber of Container Filled r " " o!Custody at 4°C Analysts <br /> Number Containers Type Preservauve m, or L 'Turbidity - Coiof t .Method Comments <br /> Vim- Gl �c7m� {� <br /> IQrt Sf7 <br /> Total Purge Volume Disposal/Containment Method J ¢ NK <br /> WeatherCondliions U <br /> Condition of Well Box and Casing at Time of Sampling- <br /> Weil Head Conditions Requiring Correction(locks,damaged casing orwell box,etc) <br /> Problems Encountered Dunng Purging and Sampling <br /> Comments <br />