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Pure Loa Form <br /> PFoTect Name �c Projcct Number- 5-6 <br /> Site Location <br /> Well NO <br /> -- Date 0� /-?,0 1 pq_ Field Term A 1 <br /> Dotal Depth-__31 jr Depth to Rater �-6 5-2 <br /> Wafer Column Length <br /> Casing Diameter 1 Casing Factor /�� VaIume Calculation- 19 <br /> Total Purge Volume �� R <br /> Casing volumes Produced pip TFFe <br /> F3 Meier �K�� Caiiorated.�or N Cond Meier �A� - <br /> -- Calibrated-6or N <br /> Temp Ihfeter._ Turbidity Meter Calibrated Y or N <br /> (Casing Factor. 2"=.I7 3"=.33 4"=.66 5"=1 02 6"=I 5 8"=2 6 {In Gallons r Izn <br /> per ear fool}) <br /> TimePrnd Ratellcii<{total)-D iPh - __ - - <br /> �. 1. a f I. + °C}=TurF�ty_ Cn =_ <br /> o <br /> Ur � <br /> Rcm8^or Disposal Method ST <br /> 4 Tota[Drams Onsite <br /> -.:eat RecharPe prior to Sampling• 10 m W Sample CoIIection Method_ O g d.L.e- <br /> ample Labeled G 4, w - y Sam Ie Time / rr <br /> p .---�_ Laboratory- <br /> 0-6 <br /> aboratoryv`6 a Z ,n 4a d f2�1 a.L6 j <br /> No of Containers- J' <br />'eplicate Tnp Blank <br /> Ransate BIank <br /> amments- <br /> • <br />