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PLIrge Locy Form <br /> project Name_ -��'���t! 1�} _ _ Project Number s3 t� Site Locution ,��=.r • <br /> Well No Date 0 1r e>f c s _ Field Tech Of <br /> TOLal Depth_ V h s- Depth to water Gg eater Column Lensth g �� <br /> Casing Diameter^^y Casing Factor1. - - - Volume Calculation <br /> Total Purge Volume- � Casing volumes Produced - •3 - Pump TSpe <br /> PH Meter 0A kty Calibratedo or Cond Meter 0e14,1 Calibrated (1'or N <br /> Ternp Meter 0-1 k4-J Turbidity Meter. _ /tA _ . Calibrated Y or N <br />` [Cas ne Factor. 2"= 17 3"=.33 4"=.66 5"=I 02 6"=I 5 S"=2 6 (In Gallons per 11,2ear foot)] <br /> Time Prod Rate Gatlors(total) DTW Ph Ec Temp(°C) Tur orcrry Cor,---ne;ts <br /> � 3 s® j ) <br /> Storaze or Disposal IMethod Total Drums Onsite 2— <br /> ?!:cent Recharge Prior to Sara lirs 4 Sample Collection Method s 12aars <br /> 'Sample Labeled'-- �1 c /1�!�'�- Sample Ttme l 0 Laborator;r_ O�� <br /> Analysts 7 !r 1 s*A. o),c ,;,— . 3. �}�� +1 �' ' ° No of Containers <br /> 'Daolrcate Trip Blan;. Rtnsate Blank <br /> Lmelts <br />