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Purge Log Form <br /> SII al• <br /> Protect Name Project Number_—a s'1!, _r Site LocationC -+ <br /> ,Well No Date 03 I o? o`l Field Tech )0-3 <br /> Total Depth`3/ Depth to water AS' Y'W Water Column Length <br /> Casing Diameter Casing Factor ./— I Volume Calculation , <br /> Total Purge Volume S 4 Casing ' <br /> volumes Produced S Pump Type <br /> PH Meter 1F4V✓ Calibrated( or N Cond Meterpiry <br /> .�° � Calibrated &or N <br /> Temp Meter Turbidity Meter /A Calibrated Y or N <br /> [Casing Factor 2"= 17 Y=38 4"=66 5"=l 02 6"=l 5 8"=2 6 (In Gallons per linear foot)] <br /> Time-_`—=Prod=Rate=GaIIons[total) DTW==Ph_-SEC===-TeM =Turbidity Comments — -_ <br /> 11 a-S / cams �. a �- 70-0 <br /> Jif J. 0 3 � 9r pj l d- ,JJ <br /> J13q <br /> /137 <br /> imL yr <br /> i <br /> Storage or Disposal MethodTotal Drums Onsite <br /> Peroent Recharge Pnor to Sampling / 0'3L Sample Collection Method �L1r. <br /> Sample Labeled My✓ ' Sample Time /,7dSS Laboratory ' <br /> Analrsus aGl Q� No of Containers <br /> Duplicate Tnp Blank RRnsate Blank <br /> Comments <br /> 0 <br />