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Purge Log Form <br /> )Protect Name <br /> a �yvcM�" t N tL,.tivra�� Protect Numbcr S` 0 3 Site Location <br /> 01 No _ Date U a4- 19ll Field Tech A r <br /> Total Depth_ ��1 t,�. Depth to water 3�{ �'� Water Column Length <br /> � , <br /> Casing Diameter � Casing Factor Volume Calculation / 7 <br /> Total Purge Volume Casing volumes Produced y� Pump Type f ruZ ' <br /> M Meter 4 Calibrated or N Cond Meter �r Calibrated Oor N <br /> Temp Meter _ Turbidity Meter, N A Calibrated Y or N <br /> (Casing Factor 2"= 17 3"= 38 4"=66 5"=1 02 6"=1 5 8"=2 6 (In Gallons per linear foot)] <br /> Time Prod_ Rate Gailons(total) DTW Ph Ec Tem ('OC) TurbiditN Comments <br /> 1 a o 1. 0 014 1 0 7 C 4 A,-, <br /> 13 ► q <br /> �. 3r, v <br /> 05. <br /> 13 sa 3` •'� <br /> Storage or Disposal yiethod dA.11 Total Drums Onsite <br /> Percent Recharge Pnor to Sampling Sample Collection Method <br /> Sample Labeled Ic, 14 L Mw '3 Sample Time ! Laboratory <br /> Analysis } k 3` No of Containers <br /> plicate Tnp Blank Rmsate Blank <br /> Comments <br />