Laserfiche WebLink
Purge Log Form <br /> i <br /> Project Name k"O(AQ s _f{A*Ar►eR LtLRjb Protect Number s'- OR Site Location S7ar�crw <br /> Well No _ _ Date () f h°19q Field Tech _ -1 _ <br /> 3 tf Go Water Column Len 35-- ) <br /> Total Depth �a9 � U Depth to water Length <br /> Casing Diameter Casing Factor Volume Calculation 6 e, <br /> Total Purge Volume a) Casing volumes Produced 3 S Pump Type_ c u►n� <br /> PH Meter P-1J�% Calibrated W'or N Cond Meter L�dA- _ Calibrated a or N <br /> Temp Meter RN Js(I Turbidity Meter_ 66 Calibrated Y or N <br /> ICas,ng Factor 2"= 17 3"= 38 4"= 66 5"=1 02 6"=1 5 S"=2 6 (In Gallons per Iinear foot)] <br /> T,me Prod Rate Gallons(total) DTW Ph Ec Tema (°C) Turbidity Comments <br /> 0 S 6 11 60173-3 1103 1 "}a b 1 A4 w at— Qu, <br /> Oil I g- 34 8a -? C,9 I /674 I "�.l -L I M ate. <br /> I'1 of I /a 3 -a-i $1 b 9r I ►olq i - rld� <br /> Storage or Disposal Method 's S Total Drums Onsite <br /> Percent Recharge Pnac to Sampling, Dr3 Samplc Collection Method <br /> Sample Labeled < NL Mw '� ' Sample Time _i3 __ Laboratory <br /> Anslysis eye ?�(r No of Containers 3 <br /> Duplicate Trip Blank Rlnsate Blank <br /> Comments <br /> �w <br />