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PurLye Loc, Form <br /> Project Name EO IA Project Number �5G SiteLocation T <br /> is No `? Date /0/01 /0 <br /> FietdTe`h -,P-s <br /> Total Depth as J, I Depth to water 1 �- A e a 'Ll Li p ��'at,.r Col:zrnn L�zgth 1 <br /> Casing Diameter �' Casing Factor 'volume Calculation- _I)_I) <br /> Total Purge Volume "} Ca<ing volumes Produced 17 <br /> Pump Type <br /> T-- <br /> Pn Meter Calibrated(Y)or or N Cond Dieter OA4ic" C2hbrated ()or N <br /> T:•np hfeter Turbidity Meter AA <br /> Caliorte3 Y or N <br /> [Cas.ng Factor 2"= 17 3"=33 4"= 66 5"=1 02 6"=1 5 8"=2 6 (In Gallons per Iinatar foot)j <br /> T. iz Fray=Rate Cralloas(totaI}=D - FhEc==f-=Ti�rtn(_C1�Turotdir_v-=CoFrLme�ts _=_ <br /> 0?3a- ! ! s I! 6 q6 <br /> cm ge or Disposal hfe:ltod 711 Total D=s Orsite y <br /> F �re-tt Recharge Pnor to Sampling A Sample Collection Methcd 0'.a- <br /> Sa-tole Labeled S M W Sample Time 1 O�O Laboratory <br /> 6r:ttists <br /> No of Contat ners <br /> �Lcate Tnp Blank Plt=te Blank <br />_C ellts <br />