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Purge Lob Form ` <br /> l <br /> ?roj�ct Mme ^ POIAWA v. Project Number 7f ��{' Site Location <br /> Neil N70 -2-- Date `'`/103/0 S Field Tech <br />*Total Death /0� 3�' Depth to%4ater •34 Water Column Lensth �- -- <br /> Casing Diamete, Castna Factor Volume Calculation <br /> a <br /> Total Ptur�e Volume . - Cas=volumes Produced _5 1 Pump T}pe_ ��t-r. > _1�^_ <br /> PH Mete; (kk--,.y Calibrated Y or N Cond Meter �'�'���' Calibrated I6or IN <br /> Temp IVIe'er O,Ck4oy Turbidity Meter _ _ 1,A _ _ _ CaIiorated Y or N <br /> [Casing Factor 2"= 17 3"=33 4"=66 5"=1 02 6"=I 5 8"=2 6 (In Gallons per linear foot)] <br /> Time Prod Rate Gailons(total) DTW Ph Ec Tema (°C) Turbidtry Cornmen,s <br /> Storage or Disposal�blethodr Total Drums Oris,-Le <br /> Pe-cent Recharge Prior to Sarplinff_ Jl�� Sample Collection Method � ✓ l'e-�- <br /> Sa-iple Labe'ed /°/? C 4-1w- Sample Time JJ Laboratory � +r---- <br /> Analysts _ ,/��f C�, LT,r.�/� / - _ _ No of Contalne-s <br /> Duplicate Trip Blank Rinsate Blank <br /> �or-smeits <br />