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4 <br /> Purge Log Form <br /> I*cl Name Prolccl Numbcr_ 95,- o t 3 Site Location <br /> �7�c K fn.t_ _ <br /> Well No LOU Date. 04ZZFI S Field Tech _ S- .SgWU,-5 <br /> Total Depth LSO Depth to water �� 3 _ Water Column Length Zz- <br /> �t <br /> Casing Diameter z Casing Factor • ( Volume Calculation I17-Z -K •I7= Z <br /> Total Purge Volume It7 Casing volurnes Produced 73 4 1 rr Pump Type 3.,6 Aars,we <br /> PH Meter &C- Calibrated (Y r N Cond Meter Calibrated {�br N <br /> Temp Meter aC Turbidity Meter 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 Gallons(total) DTW Ph Ec Tern (°C) Turbidity Comments <br /> I� t I . v NS-13 <br /> q-?.,I F1 _ ` Sc <br /> Storage or Disposal Method ICI-110-Total Drums Onsite 10 <br /> Percent Recharge Prior to Sampling 16b l�, Sample Collection Method <br /> Sample Labeled �putl,�I<O _ Sample Time j 4L Laboratory <br /> k�, �b5 <br /> Analysis_,Ira:aA 17-• _ No of Containers z <br /> Duplicate Trip Blank Rrnsate Blank <br /> Comments <br />