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ENGINEERING ET1C <br /> GROUNDWATER PURGE AND SAMPLE FORM QQ <br /> Project Name C XXQAJ Weil No fiuvate <br /> j 3 g J <br /> Pro ectNo '�� , / Personnel: �4` <br /> GAUGING DATA <br /> Water Level Measuring Method. wC Measuring Point Description'. T6-C, Ze� <br /> CasingTotal Req d <br /> WELL TotalDepth Depth to Water WaterCotumn Multlplierfor Volume PurgeVolume <br /> I VOLUME (feet) (feet) (feet) X Casing Diameter (gal) (gal) <br /> CALCULATION <br /> 2-& -ten d -.1 a� 2 s �. <br /> oys <br /> PURGING DATA <br /> Purge Method Purge Depth Purge Rate y <br /> Time 1 '5 11 t 3( 3 131� 1317 <br /> IVolume Purges(gat) 0 t Ca 2� <br /> - Temperature(°C) .F <br /> Specific Conductivity(umhos) •v< �t) (; o <br /> Turbidity/Wor <br /> I OdorAl �7 A/ <br /> =Casing Volumes Removed; O ) , O Z <br /> Dewatered'? <br /> IComments/Observations <br /> SAMPLING DATA Time Sampled Approx.Depth to Water During Sampling <br /> Comments <br /> I Volume • Shipped Under Chain <br /> Sample Number of Container Filled rL 0­4�^ or Custody at 4°C Analysis <br /> Number Containers 11 Type Preservative mL or t Turbidity //Color .,j Method Comments <br /> I <br /> GYM 51f� <br /> Total Purge Volume y Disposal/Containment Method _ N <br /> weather Condibons <br /> Condition of Well Box and Casing at Tl eofSampling <br /> Well Head Conditions Req uinng Correction(locks,damaged caging or well box,etc) <br /> Problems Encountered During Purging and Sampling <br /> Comments <br />