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GEOUS®Well Purging Form <br /> colMPAnIr l✓e5 SAMPLENO-. I✓ <br /> Q,lE11T L/Ovj.,4n QcvApp PATE <br /> MOJE cr w WOLSL J <br /> SITE A SKINATUtl O <br /> WELL OBSERVATIONS <br /> WELL CASING AND UD INT DAMAGED- MOVED-NONE LOCKED. YES-NO KEY NO: <br /> E WELL DUWEn3t r - w-ir-GTH : SflCIQ.IP HEIGHT FT-M <br /> MEASURING Mw. TIC t!9-CRs.OTH: TOC- DIF'PF wym W-CM <br /> VAPOR READINGS: PID-FID 0811M <br />' SACIMOUND. INSIDE WELL CASH <br /> W L LAYER OSSMEDt: FLT-SNK-NON SAMPL.E11 YES-NO DOCIVOM fly{ <br /> PURGING CALCULATIONS <br /> (A) DEPTH TO WELL BOTTOM. - L' - Fr-M MEASURED-RMORDED PREVIOUSLY <br /> (EQ DEFTH TO WATER: 'Z ? _ . FT-M TIMEMEASLIRED <br /> R WATER COLUMN HEIGHT(A-8): z Y Fr-M WW Fiscmi -CLO4s ( Vs1Ojamwm kwheoz <br /> Q WELL DIAMETER FACTOR ' G!FI-1.1 l W a 0-18; W s OBS• Ir- 14r. W=2.61 GPF} <br /> I0 ONE WELL VOLUME(C x o)' ` r ' GAL-L (?.'=2AC 4-=&I; d'- 18.: W a 52A LPM) <br /> (F) VOLUMES TO BE PURGED: 3, <br /> (G) TOTAL VOLUME TO BE PURGED (E x F): <br /> PURGING INFORMATION <br /> PURGING METHOD. BAILER. -CENT PUMP-OTHER. <br /> DEVICE DESCRIFnom <br /> PUMPIBWLEA INTAKE DEPTH: TOP-OE4SCREENNA3.1.-WATER SURFACE <br /> PURGE WATER DISCHARGED.TREATED.STORED ONSITE STORED IN: TANKS-DRUMS NO <br /> FIELD PARAMETERS MEASURED iN, FLOW THRU CHAMBER-OPEN CONTAINER <br /> DEPTH PURGE FIELD MEASUREMENTS <br /> PIIS TO WATER RATE TUB D - COMMENTS <br /> (Fr-M) (GFM-LPM) '!gyp} (04 <br /> a 3 7,16176-5- a,wD1IS z.•rll �/.; ! <br /> l o t 3 .1 ! 7 *.),07,0 tL",P1/ v/ <br /> MTP-Temperature MCL-Color MDD-Dissotved Oxygen MD 1 -OTW In Well <br /> MSC-SpedAe Conductance MPH-pH MOS -Other• M02-DTW in Well <br /> MPD-Phototonlzer(e g , HNu) MEH- E7 M02-Other' MD3-DTW In Well <br /> MFD- Flame Ionizer (e g., OVA) MAL-Alkalinity M03-Other MD4-DTW In Well <br /> DDPYRIGHT 0 1"by Roy F Warton Inc, GOTtCg3 <br />