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' Fume Loi Form <br /> Project Name �•'� � puri � j�,s- <br /> Wel! No <br /> Project NumS-` <br /> ber 4 <br /> 1 Site Location <br /> Date OT10 1t%5' FieId Tech A r <br />' Total Depth Depth to �4ater. 2(, <br /> Wats Colun-,n Length 131 <br /> Casing Diameter �- Casing Factor 9 <br /> Volume Calculation X,3 <br />' Total Purge Volume a Cz ing volumes Produced 3.3 <br /> Pump,Type- e.,it— <br /> PH Meter- Oak+,w' Calibrated W or N Cond Meter—Q-44-v Calibrated (�Z or N <br /> Temp Meter fJ.A�:t�.� Turbidity Meter' ^ <br /> Calibrated Y or N <br />' [Casos Factor. 2"= 17 ;"=38 4"= 66 S"=I 02 6"=I s 8"=2 6 (In Gallons per IL-iesr foot)) <br /> I , <br /> Tune Prod Rate Gallot s(total) DTW Ph Ec <br /> Temp( C) TuFaidity Coms-ne-i*s <br /> 1-2 eA <br /> 6 17 I .� I Y,: fI <br /> f � I rets I � - f I <br /> 1093n f T , <br /> f f f ! f <br /> I Storage or Disposal Ivfethod- <br /> Total Drums Onsite <br /> P--cent Recharge Prior to SampIirs_ <br /> _�. Sample Collection Method d.� ,a .. <br /> Sample Labeled Sample Time <br /> Laboratory- <br /> Analysis Z <br /> brA � No or Containers <br /> Lplicate , <br /> Trip Blank Rinswe BIank <br />�or']rient5 <br /> I <br />