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GROUNDWATER PURGE AND SAMPLING FIELD DATA SHEET <br />' <br /> 1 PROJECT INFORMATION <br /> WELL ID: Mw- 1 <br /> Protect Number 09940 Task Number 04 Date c---M. Ttn1e _ <br /> Client Personnel -377'a P L<io <br /> Project Location, sot Cd__ ___ __ Weather1abV� <br /> 1 <br /> 2 WELL DATA <br /> Casing Diameter 2 inches Type of Casing <br /> Screen Diameter inchIt)- <br /> (d) Type of Screen Screen Length <br /> Total Depth of Well from TOC 0 feet <br /> Depth to Static Water from TOC G •rlr feet <br />' Depth to Product from TOC - feet <br /> Length of Water Column(h) .ZZ. feet '5.G 1 Calculated Casing Volume gal (3 to 5 times one well volume <br /> Purge Volume Calculation(one casing volume-0 041 d2h) <br /> Note 2-inch weR-O 167 gaW 44nc h watt a 0 667 gata <br /> 3 PURGE DATA ul men Model(s) <br />' Purge Method 04' <br /> 1 <br /> Materials Pumpll3ailer <br /> Materials RopefTubmg <br /> 2 <br /> Was well purged dry? O Yes o No Pumping Rate gallmn 3 <br /> Cum' <br /> Other <br /> Time Gallons pH Temp(Units) Spec(Units) <br /> Eh(Units) DO(Units) Turbidity COComments Removed (Units) (NTU) LO .. <br /> 1 Otto N -k16 <br /> kci 6 a .. <br />' •a! to O,'Z ZZ •, <br /> Do MJL 40 it 04 <br /> 1 <br /> 4 SAMPLING DATA Analyses Requested <br /> Method(s) <br /> Materials Pump/Baller 1LC+(L <br />' Matenals Tubing/Rope <br /> Depth to Water at Time of Sampling Gle,%,N Field Fittered? (7 Yes dlf-hlo <br /> Sample ID rnV4' 1 Sample Time ��30 !i of Containers <br />' Duplicate Sample Collected? p Yes A No ID <br /> 5 COMMENTS <br /> Include comments such as well condition odor presence of NAPL or other dams not on the field data sheet <br />' FORM GW-11 (RevMIMI) Segnature , <br /> P 1Overhead10017-151Fonos%Groundwater Sampling f=orm xis <br />