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GROUNDWATER PURGE AND SAMPLING FIELD DATA SHEET <br />' 9 PROJECT INFORMATION r WELL ID: w <br /> Project Number� qt 7 -- Task Number (7b Date !2"�S Q� Time,W1 <br /> Ciielll r y) 7' MULt---%N(2 Personnel <br /> Project Location_ ��- Weather_ �o a <br /> 2 WELL DATA <br /> Cm trig Diameter^indm Type of Casing ~� <br /> Screen Diameter Inche�dl S�feet Type of Screen �-- Screen Length <br /> Total Depth of Well from TOC <br /> Depth to Static Water from TOC teet <br /> Depth to Product from TOC feet ff <br /> Length of Water Column(h) .C7 feet Calculated Casing Volume 3f l� gal (3 to 5 brise one well volume <br /> Purge Volume Calcutabon(one casing volume=0 041d-h) <br /> Note 2-rnch we11 a 0 167 g&Wt I-nreh we0-0 OB7 gM <br /> 3 PURGE DATA Eaumment Modellsl <br /> Purge Method 1 <br /> Materials Pump/Baller <br /> 2 <br /> Materials Rope/Tubing <br /> Was well purged dry? o YesV-14LNo Pumping Rale goUrnin 3 <br /> i <br />' Cum Spec Cond Aq L Turbidity Other <br /> Time Gallons pH Temp(Units) (Units) Eh(Units) DO( rifts) (NTU) Comments <br /> Removed <br /> I{ oto •'1 ©• 1 +�► Nva+ <br /> 9,149 3 13 7Y, 99Z it t <br /> CIL0 ft r• til, <br /> t, <br />' 4 SAMPLING DATA Analyses Requested <br /> Method(s) <br /> Matenats Pump/Bailer S iLiLQ dC T <br /> Materials Tubing/Rope i <br /> Depth to Water at Time of Sampling Field Filtered? O Yes No <br /> Sample ID�^ Sample Time ��[30 of Containers t� vz, <br /> Duplicate Sample Collected? o Yesd!(—No ID <br /> i <br /> 5 COMMENTS <br /> Include comments such as well condition odor presence or NAPL or other items not on the field data sheet <br /> VL <br /> KORMGW-11 (iRev U31109) S azure <br />' P%Overt►ead10017-151Forms%Groundwater Sampling Form xls <br />