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' ETIC ENGINEERING <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> ProfectName. C tYXQJVJWeIINo.__Vr1w . �ate <br /> ProjectNo ( Personnel <br /> GAUGING DATA <br />' Water Level Measuring Method: -)C Measuring Point Descriptton:. <br /> Casing Total Req'd <br /> WELL Total Depth Depth to Water Water Column Multiplierfor Vokmie PurgeVolume <br />' VOLUME (feet) (feet) .�. (feet) X Casing Diameter (gam _ (g4 <br /> CALCULATION >.. <br /> z2 �v � �,� r � .� � 2 4 � � . r�9 ` <br /> 016 064 144 <br /> PURGING DATA <br /> Purge Method 11 ��l ��lt1i— Purge Depth Purge Rate �J M <br /> Time <br /> IVolume Purges(gal) <br /> Temperature(OC) <br /> pH - 13 <br /> Specific Conductivity(umhos) <br /> Turbidity/Color I Vy—`l7J <br /> Odor <br /> "Casing Volumes Volumes Removed :_. : <br /> Dewatered? <br /> ICommentslObseivations <br />' SAMPLING DATA Time Sampled p�� Approx Depth to Water During Sampling 1 <br /> Comments <br /> Volume shipped Under Chain , <br /> Sample Number of Container Filled r r tw�ly or Custody at 4°C Analysis <br /> Number Containers Type Preservative mL or L TurMity - Color wMethod Comments <br /> GYI Srf-< <br /> Total Purge Volume 0AT1,6 Disposal/Containment Method _ 4, >v <br /> Weather Conditions <br /> Condition of Well Box and Casing affirn4 of Sampling <br /> Well Head Conditions Requiring Correction(locks,damaged casing orwell box,etc_) <br /> Problems Encountered During Purging and Sampling $SC> <br /> Comments <br />