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' E <br /> ETIC NGINEERING <br /> GROUNDWATER PURGE AND SAMPLE FORM Q - <br /> Project Name Well No __ vt -t'►�^^�1 ate <br /> Project No '� / Personnel: <br />' -- _ <br /> GAUGING DATA <br />' Water Level Measunng Method_ Measunng Point Descnptton: <br /> Casing Total Req d <br /> WELL Total Depth Depth to Water Water Column Multlplierfor �/�me purge Volume <br />' VOLUME (feet) (feet) (feet) X Casing Diameter (gad (gam <br /> CALCULATION <br /> 0 16 064 144 <br /> PURGING DATA <br /> Purge Method r- Purge Depth Purge Rate APrr, <br /> Time <br /> IVolumo Purges(gal) Ll 19 1 <br /> , Temperature(°C) i CP _ 3 -7,S <br /> Specific Conductivity(umhos) {� 3lie <br /> Turbidity/Color <br /> Odor <br /> �.Gasing VolumesRemvvedtiw : <br /> Dewatered'? <br /> Comments/Observations <br /> I SAMPLINGDATA <br /> Time Sampled Approx Depth to Water During Sampling 1 -7 <br /> Comments <br /> Volume r, Shipped Under Chain <br /> Sample Number al Container Filled r' s�`+�� oT Custody at 4°C Analysis <br /> Number Containers Type Preservative mL or L 'Turbidity Color -,Method Comments <br /> Total Purge Volume Disposal/ConiainmentMethud <br /> I <br /> Weathe r Conditions SSLVYV <br /> Condition of Well Box and Casing at Time of Sampling _ ey <br /> Weil bead Conditions Requiring Correction(locks,damaged casing or well box,etc) <br /> Problems Encountered Dunng Purging and Sampling <br /> Comments <br />