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IETIC ENGINEERING R1N ` <br /> GROUNDWATER PURGE AND SAMPLE FORM �? <br /> Project Name C A-XoG / <br /> V Well No W ate '7 <br /> Pro ectNo r <br /> 1 '�� f Personnel: <br /> GAUGING DATA <br />' Water Level Measuring Method. Measuring Point Description:_ :TiD-� <br /> Casing Total Req'd <br /> WELL Total Depth Depth to Water Water Column Muttzplterfor Volume PurgeVolume <br /> IVOLUME (feet) (feet) _ (feet) X Casing Diameter (gal) (gal) <br /> CALCULATION �J.n n , 9� �_� 2 <br /> !/" 0 1610-64 1 44 U <br /> PURGING DATA <br /> IPurge Method Y Purge Depth Purge Rate -3'L4 trL' <br /> Time21 <br /> 1-24 $ 1 '2-2A 1 Z?� <br /> Volume Purges(gal) ;T>F= C) <br /> Temperature(°C) ��- -'` .3 �d-� O '�- So t <br /> PH _�, q-7 -7- L/3 <br /> ESpecific Conductivity(umbos) �� �D �! l 1 <br /> Turbidity/Color <br /> IOdor ZL - <br /> =Casing Volumes Removed$, :r <br /> �. . iq <br /> r r� <br /> Dewaterfrd? <br /> r <br /> Comments/Observations <br /> ESAMPLING DATA Time Sampled f 2�' i Approx.Depth to Water During Sampling '"t �C <br /> Comments <br /> E volume Shipped Under Chain <br /> Sample Number of Container Filled L "` of Custody at 4°C Analysis <br /> Number Containers Type Preservativa mL or L Turbidity Color Method Comments <br /> qct m L Meet <br /> E <br /> E GYt <br /> . Total Purge Volume Dlsposat/Containment Method <br /> E Weather Conditions <br /> Condition ofWell Box and Casing atTime ISampling <br /> Well Head Conditions Req utring Correction(locks,damaged casing or well box.etc) UzQ <br /> Problems Encountered During Purging and Sampling <br /> IComments <br />