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' ETIC ENGINEERING <br /> GROUNDWATER PURGE AND SAMPLE FORM <br />' ProlectName C XXOAI Well No _ Mwate -J" <br /> . ProtectNo �� , / Personnel: tom`/ �4` <br />' GAUGING DATA <br />' Water Level Measuring Method: Measunng PointDescrlpiton:, ' jj'-c <br /> CasingVTotald <br /> WELL Total Depth Depth to Water WaterColumn Multiplierfor Volumeme <br /> VOLUME (feet) (feet) (feet) X Casing Diameter (9�) <br /> CALCULATION .. <br />' a 1 s o 64 144 <br /> PURGING DATA�r <br /> Purge Method V Purge Depth GcLaem, Purge Rate m' <br /> Time t-)-014 (2-OL-Volume Purges(gal) "y »}= () a-U 3 D <br /> Temperature(OC)-,, i--_ f,tR < 0 _ 0 <br /> pH <br /> Specific Conductivity(umhos) S�j � '71:�V <br />' Turbidtty/Color '' <br /> Odor =_� _ <br /> JO <br /> Casing VolumesRemaved•. <br /> Dewatered9 ' <br /> by <br /> CornmenwObservalions <br /> I SAMPLING DATA ( -57Time Sam _� 2 <br /> Approx Depth to Water During Samplin <br /> Sampled p <br /> Comments <br /> Volume Shipped Under Chain <br /> Sample Number of Container Fllled ` �" "� of Custody at Q°C Analysis <br /> Number Containers Type Preservative mL or L Turbidity color tj .Method comments <br /> 7 Vim- HCA qo rn L- Rw <br /> Total Purge Volume ROAM Disposai/Contamment Method - f 4 h1K� <br /> WeatherConditions <br /> Condition of Well Box and Casing at Time of Sampling <br /> Well Head Conditions Req wring Correction(locks,damaged casing or well box,etc) rJ <br /> Problems Encountered During Purging and Sampling <br /> Cornments <br />