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a <br /> Purge Loa Form <br /> Project Name SC)�1 ,G Project Number ys0 Site Location <br /> Date O 6�� y/�3 Field Tech 4 1 <br /> Total Depth a-S S- Depth to water_ // S _ Water Column Lenrh /3 <br /> Casing Diameter �— Casing Factor -0 <br /> Volume Calculation- 7- <br /> Total Purge Volume /S 6 Casing volumes Produced .r Pump Type J <br /> PH Meter 7Lt", Calibratedcwor N Coad Meter C2,4khn., Calibrated 6'br N <br /> Temp Meter .a' ' Turbidity Meter AA Collocated Y or N <br /> [Casing Factor 2"= 17 3"=38 4"=66 5"=1 02 6"=1 5 8"=2 6 (fn Gallons per hricar foot)] <br /> 10 /tA <br /> f(09:3�1 <br /> A,.I I� �I 1 6 9g o �9 <br /> C,q <br /> la,Tc I C I <br />,tome or Disposal Nfethod Sf -) Total Dnuns onsite <br />':-coat Recharge Pnor to Sampling /''J Sample Collection Method <br />'apple Labeled �'1Z /J"IA/ - �- Sample Time i Qy Laboratory <br /> L nalysis 7- f!G Bim-► 1 a - -A O / a o3 6,9 4 F• lir g P-e) No of Containers y <br /> 7��licatc <br /> Trip Blank Rinsate Blank <br />'caunc-�ts <br />