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Purge Loa Form <br /> OQJ=Name hnrat,, 4sy1 JC �..O14 Project Number Qlr 613 Site Location -rte*-• <br /> Well No Date ()JL. I o$ Field Tech P r <br /> Total Depth {7 r s Depth to water- 31 - b 4 Water Cal=Length a 9• a } <br /> Casing Mamete; I- Casing Factor -/I Volume Calcitlaun s <br /> Total Purge VoIvune F Casing vclumes Produced -3 Pump Type ' <br /> PH Mese: A\u Cahbmte�or N Cond Mc;e• Calibrated Vcr,; <br /> I <br /> Temp Meter _ Turotd,n Metc: AA Canomtca 't e<N <br /> [Cas,ng Factor 2"= 17 3"=38 4"= 66 5"=1 02 6"=15 8"=2 6 •(tn Gallons pe-Ir ^r foot)] <br /> T-rne -Prod Rate Gallonst total) D T W Pit Ec T emc ('C? Tt:miditr Cvmme,ts <br /> Tci ! 1 �-s i �, I AA <br /> Q g37 I I b l 1 6.�� IIIS-4 l 49.6 i I ori, I <br /> a Cq q 0 I I .9 o- ; �.o, <br /> q�r I <br /> 694f <br /> I I ! ! I I <br /> I I I I I I I <br /> I 1 I I <br /> Storage or Disposal MYthod_ ss TJ Total Dr-ami Onsite <br /> Pcrce:a Rcrhargc Pncr-to Sampling Jou'L Sample Cetle:ticn Mekhcd <br /> Sarnple Labeled L .M w _ Sarnplc Time Labor--tor,. <br /> Analyse 64e11 A Na 3 <br /> Duplicate Tnp Blank Pjr=te Blank <br /> CCrnmcnts <br /> ti <br /> a <br /> k <br />