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p Purge Log Form <br /> Project Name! l J �o �i> s.� Project Number 9 57' 0 3�' Site Location <br /> Well No1 <br /> Date O bX-� Field Tech <br /> Total Depth - S`6 Depth to water Water Column Length y �' <br /> Casing Diameter Casing Factor 6 Volume Calculation <br /> Total Purge Volume �� O Casing volumes Produced T Pump Type <br /> PH Meter Calibrated&'or N Cond. Meter MIA c, Calibrated 1'br N <br /> Temp Meter� � Turbidity Meter AZA Calibrated Y or N <br /> [Casing Factor 2"= 17 3"=38 4"=66 5"=1 02 6"=1 5 8"=2 6 (In Gallons per linear foot)] <br /> I/ <br /> Time Prod.Rate Gallons(total) DTW Ph Ec Tem CC) Turbidity Comments <br /> 31 1140 IV s n/q sl-a� "r <br /> 1633- <br /> 1 <br /> 63s1 L38 b a 9 ,as �5` as two X3,1 <br /> Ll <br /> 1 1 4 6 ; 9 3 0 aa°►o �� �- �b <br /> Storage or Disposal Method S s Total Drums Onsite l �` <br /> Percent Recharge Prior to Sampling ! 4 /e Sample Collection Method <br /> Sample Labeled ' r Sample Time 3 Laboratory <br /> Analysis ►�37ear 17'+v11 G No of Containers <br /> Duplicate Trip BIank _ Rinsate Blank — <br /> Comments <br />