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PLIrge Log Form <br /> Projec,Name k4�,.,n,. v�`s'1 � f <br /> Project 1,umber Qs- ow F Site Location <br /> �Vell No :•� Date C' `1/ 0?/C. - Field Tech_,Zr <br /> Total Depth Depth to ti4ater Water ColurLi Length X.2 <br /> Casing Diamete- Z Casing Factor` Volume Calculation `1 <br /> Total Purge Vclu;ie -� u Casintr volumes ProducedPum-�•j p �p <br /> T e <br /> PH Me*eri*_ Calibratedcy or N Cond Meter OA kivv Calicrated OOrN <br /> Temp IVleter--n - Turbidity Meter Caliorated y or N <br /> [Casing Factor 2"= 17 3"=33 4"= 66 5"=l 02 6'=1 5 S"=2 6 (In Gallons per Imear foot)] <br /> ffTirrie Prod Rate GaIlons(total) DTW P'l EcTe^i� (°C) Turoidiry Corninents <br /> C' ' I 1 <br /> I . <br /> f � r + <br /> SLoraae or Disposal iviethod f <br /> — — Total Drums onsite <br /> Pe'cent Recharge Prior to Sampling 1 C�04' Sample Collection Method <br /> Sample Labeled �� y✓ f '2— Sample Time //-XG' <br /> Laboratory ' <br /> Analysis M'tG, <br /> No of Containers ' <br /> DnoIicate Trip Blanc. <br /> Rinsate Blank <br />'ommerits <br />