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GIEOUS®Wel! Purging Form <br /> COMPANY` SAMPLENM. <br /> cuwr 3'0^ O4 "? Co OATS. i <br /> PROJ+CT w 8u1111PL.t C r \ <br /> SITE SIGNATURE: <br /> ��� WELL OBSERVATIONS <br /> WELL CASING AND LID,/INTAC.T-OAMAGED-MOVED-NONE LOCKED. YES-NO KEY NO: <br /> WELL DLAMETIBit: r-4• -it-OTHER STiCIW HEIGHT. FT-M <br /> MEASURm PONT. TIC&.GRS-oTK TOC-Tic DIFFERENCL W-COY <br /> VAPOR READINGS, PID-FID DEVICE: <br /> BACKGROUND. INSIDE WE L CASING: <br /> HAPL LAYER OBSERVED: FLT-5NK-NON SAMPLED: YES-NO THICKNESS: IN-CM <br /> PURONG CALCULATIONS <br /> W DEPTH TO WELL BOTTOM. i r Z ' FT-M MEASURED-RwaROED PREY m SLY <br /> (EQ DEPTH TO WATER to - FT-M TIME MEASURED <br /> (4 WATER COLUMN HEIGHT(A-8): 3� 2 FT.,M <br /> w.q Fmcm =aaal ( .Il aignw.v,InCiw)= <br /> (P WELL DIAMETER FACTOR: _ GPF LPM (r s 0.10: 4*-0 65; e'=* 1 4T. Ir-2.01 GPF) <br /> (Ea ONE WELL VOLUME(C x D) �•� GAL-L (r-20; e-8.1: e'7 10.2: so=32.4 LPNq <br /> (F) VOLUMES TO BE PURGE 3 <br /> (q TOTAL VOLUME TO BE PURGED (E x F): <br /> PURGING INFORMATION <br /> PURGING METHOD. BAILER-SM PUMP-CENT PLtMP-OTHER <br /> DEVICE DESCRIPTION: <br /> PUMPAWLER INTAKE DEPTH- TOP-BOTTOM-SCREevwELL-WATER SURFACE <br /> PURGE WATER. DISCHARGED-TREATED-STORED ONSITE STORED IM TANKS•DRUMS No- <br /> FIELD PARAMETERS MEASURED If t FLOW THRU CHAMBER-OPEN CONTAINER <br /> I DEPTH PURGE TURBID FIELD MEASUREMENTS <br /> TIlyl$ <br /> TO RATE COMMENTS <br /> WATER 'TY J l � <br /> (FT•M) (GPM-LPM) OAC J <br /> 0250, 7,0 V 74- 10 <br /> 4 v �.� - I•=2f r 006. Iry <br /> b9i 7,03 170. 3 i ! 8th ,-d [/v <br /> MTP-Temperature MCL-Color MOD-Obwohred Oxygen M01 - OTW In Well <br /> MSC-Speac:Conductance MPH-pH MDS -Other MD2-DTW In Well <br /> MPD-Photolonlzer(e g., HNu) MEH-Eh M02-Other M03-OTW in Well <br /> IMFD-Flame Komar (e g, OVA) MAL-Alkalmity M03-Other M04-OTW In Well <br /> COPYRIGHT 1M tsy Ray F Womon tr= G071C193 <br />