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1 <br /> sm GROUNDWATER PURGE AND SAMPLE FORM <br />' Protect Name Exxon Wel!No MW7 Date ///Oc` _ <br /> ProtectNo 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 DTM <br /> ultiplierfor Volume Purge Volume <br />' VOLUME (feet) .. sing Diameter (gal) — (ga!) <br /> CALCULATION2260 4 64 f 064 1 44 <br /> PURGING DATA <br /> Purge Method Vacuum Truck Purge Depth Screen Purge Rate q ' S GPM <br /> Time 127? <br />` Volume Purges(gal) Q <br /> Temperature(o C) V Q oqt <br /> 1 pH � <br /> Specific Conductivity(umbos) <br /> Turbidity/Color <br /> ':�-J <br /> l2 G <br />' odor" r fJ /V f� <br /> Casing Volumes Removed <br /> Dewatered'? ` >s 1 xw� ,/J r✓ r� f`� <br /> Comments/Observations <br /> SAMPLINGDATA Time Sampled 1%Zy� �tp <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 Calor YIN Method Comments <br /> MW7 3 Voa HCL 40 mL � G Y MTBE B7Ex <br /> Total Purge Volume `i Gallons Disposal/Containment Method C [ Mkt <br /> Weather Conditions C2w <br /> Condition of Well Box and Casing at Time of Sampling <br /> Well Head Conditions Requiring Correction(locks,damaged casing or well box,etc) <br /> Problems Encountered During Purging and Sampling rJ <br /> Comments <br /> F PROJECTS%739425PUBL1CISAMPLINGIMW7 PM5 <br />