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E <br /> f E°.'r°"nril Drne Surie 478 <br /> rixon.1 Sn012W@II N[10707 <br /> Site IWell Marnt Remedies!-VE AS <br /> D Cf� <br /> Well PV E3 St Steel El Other <br /> Project No ooZ pQ O Z Date 3 i -d f Time_ �f(j <br />' Recorded Sampled By <br /> WELL PURGING <br /> Purge Volume PurgeDate Purge Method <br /> Casing Diameter(D)in <br /> Bailer-Type <br /> 2-Inch ❑ 4-Inch ❑ 6-inch ❑Other Submersible ❑ Whole <br /> Total Depth of Casing(TD In feet ❑ Other <br /> I Water Level Depth(WL in feet BTOC) <br /> Number of Well Volumes(#Vols)to be Pump Intake Seftrng <br /> �3 El 1:15 C1Other Near Bottom ❑ Near Top ❑ Other <br /> Depth in feet <br /> Purges Volume Screen Interval In Feet(BTOC) <br /> os Z <br /> 2 to <br /> TD L - X X -3 X 0 0409 060 - 3 <br /> I D(Inches) q Vols Calculated Purge gallons <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start I� Stop 0 Time Elapsed Initial PPM z Q gallons <br /> Field Parameter Measurements Fina! ppm <br /> Time Time Lapsed Gallons Cond T Cond�2' <br /> Purged (umh cm) (urr /cm) Temp PH Notes <br /> I <br /> Observations During Purging(well Condition Turbidity Color Odor <br /> Purge Water <br /> Drum(s) ❑ Storm Sewer ❑ Sanitary Sewer <br /> Other <br /> WELL SAMPLING <br /> Sampling Date 3 - Z -U / Sampling Time /y,47/0 <br /> Sampling Method Water Level Before Sampling(n feet BTOC) <br /> Bailer-Type ❑some as Above <br /> Submersible ❑ Whale ❑ Grob-Type <br /> Other ❑ Other-Type <br /> Sampling Di_nbution Sample Series <br /> Sample No Containers Vol # Analysis Preservative Lob Comments <br /> i <br /> Other Notes <br /> I <br />