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I <br /> ) 11 <br /> Purge Loi Form <br /> Projcct Nam ! 2 <br /> e S �te <br /> +A,vA eve.r Projc:t Nu-nbcr 9 S C'3 6 Site Loci-ion c Y <br /> NN cll No� a- Datc U;i-)yS/ti..- Ftcld Tcc h P f <br /> Total Dcptli J9 5-9 Dcpth to uatcr 6 1 Watcr Column <br /> Ccs.n,Diamv:r `� Casing Factor bU Volumc Caleb icon y <br /> Tota]Purg_Vclumc `�� r� Casa;l o1L ries F"x zc 3.�_ Pump T%-pc <br /> P-1 Mcicr oratcd 0 or N Cc-ld Mete- Ca1:orat--46or N <br /> T:^,p Nfcterf ltd` T=idrn Meter� ✓�� Caho-amd Y or N <br /> 1Castr^_Fa_tor. '_'= 17 3"= IS 4 = o5 1 02 6"=1 5 S"=? 5 (In Gallons per]ni=faoO] <br /> ;n_ P-.d P_- GalIcrs',o _) DT�r Ph zz T c no ('C) T 4 oiz:in Co-. mcnts <br /> I & V ! 3q 1 a G, u 16q 4 1 AA I w . <br /> I oy I l o s I S s3 I ar I a-rw 169 s I II 0J,- <br /> li0? I k J (,. s I � 6� 1 �- a3 12-5-5-0 1 ( 9 4 1 1ILL <br /> 113 1asy ') 1 69.? 11 <br /> d 6 Z 1 - a-3 I a-5-6 0 1 65 I 1644 -- <br /> i <br /> 1 I I I 1 I I ! <br /> I I I f I 1 1 <br /> ,ora_-or Dts'-sal Nfe!nod S� j „ _ Total Drums Onsite <br /> Pe ce-tt Recrsarn2Phar to S=Dlirs oo —_ Sa=le Coll ec:�on Mz!h�i ctt- i <br /> SLnple Labeled_ /pW All U_, - Sa:n:nt Ttr / `�a L.abcrato,-� c — <br /> �sahs,s IVC.") cf 0xy 6y Ova.60 'c LeAA No of Cc-1-Mn=-s <br /> Duzltcatc Trip Blank Rlnsatc Blank <br /> Com tents <br />