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Purcl e Log Form <br /> Project Nimc _._ Projcct Number o,r6 <br /> u Stic Loc-ttion <br /> • Wcll No I Date Field Tech Ar <br /> Total Dcpth 31 Tr Depth to nater '1.3 Y3 Water Column Len_Ui �( S <br /> Casing DiameterCasing Factor II Volume Cal�Iat]on 1 I <br /> Total Purge,Volume S,- A <br /> Casing%olum.s Produced 3- 6 Pump Type Q <br /> PnT lti4ctcr t Caliorated CY)or N Cond Meter Calibrat:d{y}or N <br /> T4mp Mctcry TuTDidin AleterZA Calibrated Y or N <br /> 1Castn_Fanor 2"= t-, ;"_ ,s 65 5"=1 02 6"=1 5 V=2 6 (In Gallons per hncar foot)] <br /> m= <br /> Pr--,d R.-,: Gallorsrto,.:l) DT�4 Ph Fc TemD('C) T ur0tatt-% Comments <br /> ,jos i d f 0 <br /> 1 -2-3 y3 1 6 e f,/ 16 s 9 fAAr w e-4., ca „ <br /> I <br /> or i I o a o I I y <br /> LI 1 1 ) ' 1 D 3 0 9 I Q.3 I I OAS, <br /> E srr3 f y <br /> Storage or Disposal Mc[hod SS Total Drums Onsac <br /> Percent Rccharne Prior to Sampling I O Sample Collectson Method <br /> Sample Labeled_ G M i„ , 'f Sa.•nple T,m- Labomtor) <br /> Analysts 7e)4 z o DX � cA �C6B No of Containers <br /> 1/Oc1.1 61 9'6 u P WA f,ITexr,a <br /> Duplicate Tnp Blank Rinsate BIank- <br /> Comments <br />