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GROUNDWATER PURGE AND SAMPLING FIELD DATA SHEET <br /> 1 PROJECT INFORMATION WELL ID: <br /> Project Number ! Task Number Date Time(4 T <br /> Client__ �)i^ ►/�r� _ Personnel <br /> ProJect Location ° Weather <br /> 2 WELL DATA <br /> Casing Diameter inches Type of Casing <br /> Screen Diameter .= inches(d) Type of Screen Screen Length <br /> Total Depth of Well from TOC-— &—feet <br /> Depth to Static Water from TOC_ feet <br /> Depth to Product from TOC feet <br /> Length of Water Column h %' feet Calculated Casing Volume g 5 times one waif volume) <br /> Purge Volume Calculation(one casing volume 0 041&h) <br /> A 95"' <br /> 15 /67 � -� � ,� � �/3.��' <br /> Note 2-Inch wag=0 167 QsNFt 4 inch wos11=0 667 peM't <br /> 3 PURGE DATA EqulomentModeffs) <br /> Purge Method / t " <br /> Materials Purnp6affer <br /> Materials Rope/Tubing 2 <br /> Was well purged dry? 0 Yes QY-OQ Pumping Rate Qal/mfn 3 <br /> Cum Spec Cond TurbidityOther <br /> Time Gallons pH Temp(Units) (Units) -644611rift) DO(Units) (NTU) Comments <br /> Removed <br /> �• <br /> 1 1 <br /> 4 SAMPLING DATA Analyses Requested <br /> Method(s) I T <br /> Materials PumpJBaEler I / <br /> Materials Tu ar at me f��� � <br /> Depth to Wat at Time of Sampling Field Filtered? Q Yee o <br /> Sample ID." Sampl Time it of Containers _ <br /> Duplicate Sample Collected? D Yes 91-1v8- ID <br /> 5 COMMENTS <br /> Note Include comments such as welf condition,odor presence of NAPL or other nems not an the field data shoot <br /> . FORM GW-11 tnev 7r3troti 5pnatu <br /> P\Overhead10017 151Forms\Groundwater Sampling Form xis <br />