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.} Purn Loa Form <br /> Project Name - ProJcct Number_ <br /> 2,5- <br /> 2,5- <br /> ---�_ Site Location <br /> ell No No Date ~~ <br /> Field Tevb 4--* <br /> Total Depth Depth to eater r ) <br /> Water Column Length b <br /> Casing Diameter _ Casing Factor Z� VoIume Calculation J. 0 <br /> Total Purge Volume Casing volumes Produced Y D <br /> PUMP Type 'aw.�. <br /> PH Meter Calibrated ®br N Cond Meter <br /> �._ Calibratet0 or N <br /> Temp Meter Turbidity Meter Calibrated Y or N <br /> (Casing Factor 2"= 17 3"=33 4"=66 Y=102 6"=I 5 8"=2 6 (!n Gallons per linearfoot)j <br /> Ti me ==Prad Rate Gall ans(total)=DTW=—Ph-=Ec <br /> w � `-Tein�(°C}=Tum�dlfv�Commen�s- � - <br /> I w�6. <br /> J <br /> Storage or Disposal Method �T Total Drums Onsite <br /> Percent Recharge Prior to Sampling /u L, <br /> Sample CoIIecuon Method <br /> Sarraple Labeled u/ - Sample Time i935* Laboratory <br /> Am l"sis <br /> No of Containers-- <br /> Duplicate Trip Blank Rinsate Blank <br /> Comments <br />