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1 <br /> w GROUNDWATER PURGE AND SAMPLE FORM <br /> tProjectName Exxon Well No RW1 Date ! r✓ t�� <br /> ProlectNo 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 Water Water Column Multiplierfor Volume Purge Volume <br />' VOLUME (feet) (feet) (feet) X Casing Diameter (gal) (gal) <br /> CALCULATION .r <br /> 49 77 �-,(p 2 4 6 0 . , <br /> 016 064 144 � U/- <br />' PURGING DATA <br />' Purge Method Vacuum Truck Purge Depth Screen Purge Rate �5 i GPM <br /> Dsl ( (U c I M <br /> Teinperatdre(°C) � <br /> Speotftc Conduchvrtl/.(umhos)-, —? <br /> '�Tur�tatryic oulv I c c) ( taw t c�J <br /> Gcy <br /> C s ng?.o-Ruj s <br /> D Re oveii� <br /> E - � <br /> j ij_ � <br /> ��©ewatered' � A) <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled Approx Depth to Water During Sampling f 6 Feet <br /> Comments <br /> Ni'�Nuinber_41! <br /> Ynrp` yVolume a, F ,riY n #G xShipped UnderCham ;,Rw—`ice +x 43ampie Numbe% 4f.``COrit8itlBf r a•.� � d�'h`• Y'y�••' """` o SieFilled ' w3 ay K �t sot Custody at 4 C=Cor1t'ainerssr T}rpeMy° Preservative or`U7urbldlt7lE�Calor R � M; �MethodComments <br /> RW1 3 Voa HCL 40 mL ��)� CLQ Y MTBE B7�" <br /> Total Purge Volume �3 Gallons DisposaUContainmentMethod Trailer to Romic for disposal <br /> Weather Conditions j <br /> ondltion of Well Box and Casing at Time of Sampling <br /> Well Head Conditions Requiring Correction(locks,damaged casing orwell box,etc) <br /> Problems Encountered During Purging and Sampling <br /> Comments <br /> F PROJECTSV39421PUBLICISAMPLINGIRWI PM5 <br />