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GROUNDWATER PURGE AND SAMPLING FIELD DATA SHEET <br /> 1 PROJECT INFORMATION WELL ID: <br /> Project Dumber Task Number Date Time L11: � <br /> Client _`f ung 4X _; :n: Personnel <br /> Project Location Weather 4s]-� ns <br /> 2 WELL DATA <br /> Casing Diameterinches Type of Casing <br /> Screen Diameter inches(d) Type of Screen Screen Length <br /> Total Depth of Well from TOC Q.Z C feet <br /> Depth to Static Water from TOC feet <br /> Depth to Product from TOC feet {y <br /> Length of Water Column(h) feet Calculated CasingVolume 4 U/ ga (3 5 times one well volume <br /> Purge Volume Calculation(one casing volume=p 041 d2h) <br /> More 2-Arch we#=0 767 gab* 4 ditch wall=0 W7 QBM <br /> 3 PURGE DATA Eoulpment ModRW <br /> Purge Method- L <br /> 1 <br /> Materials Pump/Bailer <br /> Materials RopelTubing 2 <br /> Was wail purged dry? D Yes alr Pumping Rate —rjfaVmm 3 <br /> Cum Spec CondCAP Turbidity ther <br /> Time Gallons pH Temp(Units) (Units) S"wtta) DO(Units) (NTU) Comments <br /> Removed <br /> .r+ _ <br /> l ~ <br /> 1 <br /> Rq <br /> ��• �\ <br /> l <br /> 4 SAMPLING DATA I Analyses Requested <br /> Mthod(s) <br /> Materials PumplBailer <br /> Materials Tubing/Rope <br /> Depth to Water at Time of Sampling Field FiRered? U Yes SZ—No If <br /> Sample ID. ct Sample Time #of Containers—4--- <br /> Duplicate Sample Collected? ❑ Yes ID <br /> 5 COMMENTS <br /> Note Include comments such as well condition,odor presence of NAPL or other Items not on the field data sheet <br /> FORM GW-1 1Fwv mimtl <br /> P IOverheacr=17 IS1Forms4Groundwater Sampling Form As <br />