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r <br /> ETIC ENGINEERING <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> rProlectN e�E�A'XoA Well No Ute- W ate Cu�s' q <br /> Pro ectN0 <br /> (A 3-9 <br /> , / Personnel: -- <br />' GAUGING DATA <br />' Water Level Measuring Method _ ��CY t9tC� Measuring Point Description:, ' iDt," <br /> ling Tota!Req'd <br /> WELL Total Depth Depth to Water Water Column Muttipliierfor PurgeVotumeVOLUME (feet) (feet) (feet) X Casing Qta"r _ (g4 <br /> CALCULATION .� 2 4 6 <br /> o Y � d <br /> y <br /> PURGING DATAir <br /> Purge Method ._V � yU�_ Purge Depth Purge Rate M <br /> Tune - '::9*30 46- �5---3 J <br /> Volume Purges(gal) <br /> = Temperature(°C) <br /> —7 <br /> pH � ;?.2q 29 <br /> Specific Conductivity(umbos) U /02 <br /> Turbidity/Color <br /> Odor -Z— J / <br /> Casing Volumes Removed --- <br /> t � <br /> Dewatered? <br /> Comrttents/Observalions <br /> SAMPLING DATA Time Sampled Approx Depth to Water During Sampling <br /> Comments <br /> Volume Shipped Under Chain <br /> Sample Number of Container Filled of Custody at4°c 'Analysis <br /> Number Containers Type Preservative mt_or L Turbidity Color c` ;Mettwd Comments <br /> Total Purge Volume _. _ � Q Q.� DisposaUContainmeniMetbod <br /> I WeatherCondwons f'.R.,ra-I' <br /> Condition of Well Box and Casing atTime of Sampling D <br /> Welt Head Conditions Requiring Correction(locks,damaged casing or well box,etc) Ny <br /> Problems Encountered During Purging and Sampling dV > <br /> Comments <br />