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P' <br /> --- GROUNDWA• E11 PURGE AND SAMPLtr FORM (cont.) <br /> 1 � <br /> InrlE/`! PE RSONNEL; <br /> PROJECT NUMBER:— - —� <br /> SAMPLE DATA' <br /> TIME SAME'LED:_.J1�lI -- —_,_-- _-- -- <br /> DEPTH SAMPLED(it): �— <br /> SAMPLING EQUIPMEN-I": 7e-Ion_bailer- <br /> COMMENTS:-- '" <br /> VOLuuL ulifY'LR UNDLN '- .ANALYjJS COvlICHIl; <br /> �� <br /> '140 OF COHTAINLII nLLD <br /> SAUM-C L1iUL/LVA71V[ - 'lll LFUBiliRFlIDIIY COLOIS C}WNbGjyrTOOY NLOVUY <br /> Np, C:oNYA1NLIts :''."PC I1LTM71011 (ndwitpp ''AT{''C(YA{f �, (ur-71KSU� <br /> PAZ <br /> 3 Y 0/'1 �.� TPII Jn,S B"Ir� <br /> PURGE WATER DISPOSAL NOTES: <br /> TOTAL DISCHARGE(gal): 3� 11015 <br /> DISPOSAL METHOD: rurr7 <br /> DRUM DESIGNATION(S)NOLUME: FA, L.- <br /> COMMENTS: <br /> WELL HEAD CONDITIONS CHECKLIST(Circle YES or NO--if NO,add comments) <br /> WELL SECURITY DEVICES OK(BOLLARDS,CHRISTY LID,CASING LID AND LOCK)?-. 6Er.--NO <br /> INSIDE OF WELL HEAD AND OUTER CASING DRY?:c� NO <br /> WELL CASING OK?: rl`j� NO <br /> COMMENTS: `` <br /> GENERAL <br /> WEATHER CONDITIONS: <br /> TEMPERATURE(specify'C/,F): <br /> PROBLEMS ENCOUNTERED DURING PURGING OR SAMPI.ING? n�- <br /> COMMENTS: <br /> C.C. Projttd Manager- <br /> Job file: <br /> Qtflpr - <br />