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1 <br /> ETIC ENGINEERING <br /> GROUNDWATER PURGE AND SAMPLE FORM <br />' ProjectName C A"XdAl Well No S� ate S�"� <br /> Project No '42 . / <br /> Personnel: <br /> 1 <br />' GAUGING DATA <br /> Water Level Measuring Method. Measuring Point Description- zt:::� _ <br /> Casing Total Req'd <br /> WELL Totalpepth Depth to Water Water Column MuMpherfor Volume PurgeVolume <br />' VOLUME (feet) r� (feet} _ (feet) x Casing Diameter (gal) (gam <br /> - 70 <br /> CALCULATION <br /> 016 064 144 <br /> PURGING DATA <br /> �` <br /> Purge Method �� Purge Depth Purge Rate rn` <br /> Time 'L <br /> Volume Purges(gal) <br /> - Temperature(°C)'_E l/ <br /> Specif ic Conductivity(umhos) <br /> Turbidity/Color <br /> IOdor -z� <br /> :Casing VolumevRemo\�ecl <br /> DewaterecP y 4 NJ <br /> Comments/Observations <br /> SAMPLINGDATA TimeSampled Approx Depth to Water During Sampling <br /> Comments <br /> Volume r Shipped Under Chain <br /> Sample Number of Container Filled ' ``Y''* or Custody at 4°C Analysis <br /> Number Containers Type Preservative ml or L Turbidity Color IN -Method Comments <br /> MVM <br /> Total Purge Volume L4!5 Qa Um _ Disposal/ContainmentMethod <br /> Weather Conditions V <br /> Condition of Well Box and Casing at TiA of Sampling <br /> Well Head Conditions Requiring Correction(locks,damaged casing orwell box,etc) Pro <br /> Problems Encountered During Purging and Sampling 0 tJ <br /> Comments <br />