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it <br /> Purge Log Form <br /> ect Name !` H Proleet Number S �)? Site Location f ^ <br /> � ell No ! Date 0 3' 12-Ic3 Field Tech -0 <br /> Total Depth 6 S r Depth to water 3 Q �' Water Column Length J3 S"-) <br /> Casing Diameter Casing Factor Volume Calculation <br /> Total Purge Volume ) ' Casing volumes Produced Pump Type Cr 6 P <br /> PH Meter Oa+,j Calibrated W or N Cond Meter Calibrate or N <br /> Temp Meter yaks Tarbidity Meter Calibrated Y or N <br /> ]Casing Factor 211= 17 3"=38 4"=66 5"=1 02 6"=1 5 8"=2 6 (Tri Gallons per linear foot)] <br /> Time - Pmd=Rate Crallanc(t6tal)-DTW ==Ph _-E <br /> o �Ss 11� IJ � i� <br /> J I j 6 ] ll ?� s 6 �L I icy <br /> I I I <br /> Sora-ge or Disposal Method Sf Total Drums Onsite ' <br /> F=•;ent Recharge Prior to Sampling 4 Sample Collection Method d .; <br /> Sample Labeled_ PAW LI Sample Time Laboratory <br /> PmalysIs 3 Y:ak / 7,-PA <br /> No of Containers .s <br /> D'-plicate Tnp Blank Rinsate Blank <br /> Cc rnments <br />