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WELL PURGING AND SAMPLING DATA <br /> Date: Project Number: D'�v3U Pro a ect Name:A 7--/-a e& <br /> Well Number: Boring Diameter: /D Casing Diameter: <br /> qua^ <br /> fColumn of Fluid in Well volume to b� Removed c/ <br /> depth to product gal per ft Annular Space = <br /> column of water X <br /> depth to water a volume of annular space - <br /> / gal per ft of casing <br />' total depth of well Jt' column of water X <br /> volume of casing <br /> column of product total volume <br /> number of vol to remove X 5' <br /> G,ecolumn of water �s(�� total vol to remove <br /> method of measuring fluid <br />' method of purging well �i"un��"os _ rate <br /> method of degon ��c,ra n a x <br /> r� <br /> Physical appearance of water (clarity, color, particulates, odor) <br />,• Initial O �� <br /> During . ✓` y <br /> 1 Final <br /> Field Analysis Initial During Final <br /> time { 6 ` 411 <br /> PH <br /> conductivity 0 V L4� f b !b V <br /> 1 <br />' � pH v\ temperature Y� <br /> �`. method of measurement c 91 <br /> t Total volumeur ed �s '� Comments <br /> p g --- <br /> Sample Number -1 Amount of Samples <br />' Signed/Sampler Date 1 �� <br />' Signed/Reviewer <br /> Date <br />