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Purge Loa Form <br />Project Name . I off a�— Project Number 23 S' Site Location MA,.4R cA <br />*I No -?_. Date 001 f a-9 i o Field Tech F f <br />Total Depth f Depth to water �� eater Column Length f 1.r <br />Casing Diameter �- Casing Factor ,) Volume Calculation Z <br />Total Purge Volume 3 Casing volumes Produced 57,1 Y Pump Tree ( <br />PH Meter OAl.v Calibrated (9or N Cond Meter Calibratedoj or N <br />T imp Meer _k�,.j _ Turbidity Meter &4 CaIinrted Y or N <br />(Casing Factor 2"= 17 3"= 33 4"= 66 5"=1 42 6"=l 5 8"=2 6 (In Gallons per linear foot)] <br />5 -ca -se or Disposal Nie:hod rrjo Total Drums Onsite t7 <br />F_ -_eat Recharge Prior to Sampling v0%, Sample Collection Method <br />Sc-7ple Labeled / /v+w Sample Time a4f Laboratory <br />pct► ¢ UNo of Containers <br />Trip Blank Rinsate Blank <br />Lc-mlents <br />