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GROUNDWATER PURGE AND SAMPLING FIELD DATA SHEET <br /> 1 PROJECT INFORMATION <br /> WELL ID: <br /> Project Number Task Number Date Time <br /> Client Personnel <br /> Project Loca((on Weather_ <br /> 2 WELL DATA <br /> Casing Diameter inches Type of Casing <br /> Screen Diameter lnchs ( Type of Screen Screen Length <br /> Total Depth of Well from TOC teat <br /> Depth to Static Water from TOC- feet <br /> Depth to Product from TOC feet <br /> Length of Water Column h feet Calculated Casino Votume gal 5 times one wall volume <br /> Purge Votume Calculation(one casing volume.0 041d=h) <br /> Not#2-lhch WO 0 157 g0A 4-NCh we#e 0 587 gakW <br /> 3. PURGE DATA -Eauloment ModWM <br /> Purge Method t <br /> Materials Purnp/Baller <br /> . Materials Rope/Tubing 2 <br /> Was well purged dry? 0 yes o Pumping Rate gaftin 3 <br /> Cum <br /> Specg Turbidity Gallons pH Temp(Undo) UnDO(Unita) NTComments <br /> Removed <br /> 7/7 <br /> FF LZ - - <br /> �- <br /> 75m- <br /> s f r <br /> 4 SAMPLING DATA Analyses Requested <br /> �/ <br /> Method(s) <br /> Materials PumplBaller <br /> Materials Tubing/Rope <br /> Depth to Water at Timeampling Field Filtered? o Yes,.� <br /> Sample iD� of Sample Time #of Containers <br /> Duplicate Sample Collected? ❑ vas ]eta ID �- <br /> 5 COMMENTS <br /> Note tnclude comments euoh as wef condition odor presence of NAPL or other items not on tha fleid data sheet , <br /> • FORM GW-4 IRw 7/31N1J nolo <br /> P 0verhead10017-1 SlFormslGroundwater Sampling Form As <br />