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ism <br /> GROUNDWATER PURGE AND SAMPLE FORM <br /> ProjectName Ekon Well No MW3 Date <br /> Project No 5153942 1300 Personnel Chris Chatburn <br /> GAUGING DATA <br /> Water Level Measuring Method Interface Probe Measuring Point Description TOC <br /> Casing Total Req'd <br /> WELL Total Depth Depth to WaterM064144 <br /> ultiplierfor Volume Purge Volume <br /> VOLUME (teat) (feet) ing Diameter (gal) {gal} <br /> CALCULATION <br /> 215S (g+ <br /> PURGING DATA <br /> Purge Method Vacuum Truck Purge Depth Screen Purge Rate _ GPM <br /> Time r 130 931 <br /> Volume Purges(gal) p 3 <br /> Temperature(°C) <br /> pH <br /> Specific Conductivity(umbos) C12p 102 <br /> Turbidity/Color �v <br /> Odor AJ AJ <br /> �r Casing Volumes Removed <br /> D <br /> Dewatered? <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled t`l.� <br /> p Approx Depth to Water During Sampling ' Feet <br /> Comments <br /> Volume Shipped Under Chain <br /> Sample Number of Container Filled of Custody at 40C Analysis <br /> Number Containers Type Preservative mL or L Turbidity Color /N Method comments <br /> MW3 3 Voa HCL 40 mL � C Y TPF!g BTEx <br /> MTB£ <br /> Total Purge Volume Gallons DisposaVContainment Method <br /> Weather Conditions <br /> ondrtion of Well Box and Casing at Time of Samplingy <br /> ell Head Conditions Requiring Correction(locks,damaged casing or well box,etc ) Q <br /> Problems Encountered During Purging and Sampling <br /> Comments <br /> F PROJECTS{739424PUBLICISAMPLINGIMW3 PM5 <br />