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M GROUNDWATER PURGE AND SAMPLE FORM <br /> Project Name Exxon Well No V3 Date <br /> Pro)ectNo 51539421300 Personnel ChrisChatburn <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 Multlplierfor Volume Purge Volume <br /> VOLUME (feet) ` (feet) (feet) X Casing Diameter (gal) (gal) <br /> CALCULATION <br /> 3990 � �_ I 1 �,1� Q 6 <br /> 4 <br /> 0 16 0 64 1 44 <br /> PURGING DATA <br /> Purge Method Vacuum Truck Purge Depth Screen Purge Rate 3 - GPM <br /> Time ; I L1 g-4 ] 8 <br /> Volume Purges(gal) 4 0 t/ D' f <br /> Temperature(O C) � f� f,5�lv <br /> pH <br /> Specific Conductivity(umhos) ` s i 3 .$2,o G'71 <br /> Turbidity/Color77 <br /> Odor <br /> Casing Volumes Removed 61) ate^ 7J <br /> Dewatered? , v A/ <br /> Comments/Observations <br /> SAMPLING DATA Time Sampled {3 Approx Depth to Water During Sampling 1 Feet <br /> Comments <br /> Votume Shipped Under Chain <br /> Sample Number of Container Filled of Custody at 41C Analysis <br /> Number Containers Type Preservative mL or L Turbidity ColorY/NMethod Comments <br /> V3 3 Voa HCL 40 mL � Y MBE BTEX <br /> Total Purge VolumeGallons Disposal/Containment osal/Containment Method t SI <br /> 1 � cJ� ko. <br /> Weather Conditions <br /> onditionofWellBoxandCasingatTimeofSampling _C) <br /> Well Head Conditions Requiring Correction(locks,damaged casing or well box,etc) <br /> Problems Encountered During Purging and Sampling N� <br /> Comments <br /> F PROJECTS173942%PUBLICISAMPLINGWI PMS <br />