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i <br /> GROUNDWATER PURGE AND SAMPLING FIELD DATA SHEET <br /> WELL ID: 12) <br /> 1 PROJECT INFORMATION <br /> -4 <br /> Project Number_ Task Number Ci Date _ "i`��c.F( _ Time <br /> Client l— Personnel <br /> Ci l q nom- r. <br /> Project Location Ccs_ Weather <br /> 2 WELL DATA <br /> Casing Diameter vnn <br /> = inches Type of Casing ~ <br /> Screen Diameter Inches(d) Type of Screen --1 Screen Length <br /> Total Depth of Well from TOC 0 feet <br /> ' Depth to Static Water from TOC feet <br /> Depth to Product from TOC �� feet q G� <br /> Length of Water Column(h):19i Z feel .I Calculated Casing Volume /r 'Z> I gal (3 to 5 times one well volume) <br /> ' Purge Volume Calculation(one casing volume=0 041d2h) <br /> Note 2-inch well=0 167 galffl 4-In2h well=0 667 ga <br /> ' 3 PURGE DATA tui ment Model(s) <br /> Purge Method f L.i[,q-� <br /> Materials Pump/Bailer L( f r <br /> Materials RopelTubing L.� � <br /> 2 <br /> Was well purged dry? ❑ Yes r-No Pumping Rate gaurran �. 3 <br /> Cum <br /> Time Gallons pH Temp(Units) Spec Cond Eh(Units) DO(Units) Turbidity Other Comments <br /> Removed (Untts)�r� (NTU) <br /> IVI <br /> . Irl <br /> r 1 , <br /> Y r 1Q, I qiI/St9 <br /> G r( rr <br /> ,t <br /> i <br /> A SAMPLING DATA Analyses Requested <br /> i <br /> ethod(s) �, L'(�� �4TtiJ <br /> Materials Pump/Bailer 1 ( <br /> r f <br /> aterials Tubing/Rope <br /> Depth to Water at Time of Sampling Field Filtered? ❑ Yes /01-No LEAD Sl fAvc <br />' Sample ID Il'1t,., - l Sample Time #of Containers_ <br /> Duplicate Sample Collected? ❑ Yes PQNo ID <br /> I <br /> 5 COMMENTS <br /> Iridude comments such as well condition odor presence of NAPL or other items not on the field data sheet <br /> FORM GW-1 (Rev Mlffi1) i 0ture <br /> P IOverhead10017-1 51FormsiGroundwater Sampling Form As i <br />