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' PurQz Loi Form <br /> ProJe�t Name � u ie- b 9-��- <br /> Project Ntunber x-163 Site Location -rk-,Xkt-~ <br /> I No Date 09 /Pr/L)'! <br /> Field Tech / sQ <br /> otal Depth S Depth to cater 36 ,y <br /> Water Column Length <br /> asing Diameter a- Casing Factor Volume Calc-Oatton �. <br /> at3i Purge Volume Casing volumes Produced >> <br /> _— Pump Type ,aa"- <br /> H eter ---- CalibratedUY or N Cond Meter ()Okf"� <br /> Calibrated �or N <br /> tem"pmeter. CIA 10ov Turbidityhfeter A4 <br /> -- Calibrated Y or N <br /> using Factor 2"= 17 3"=33 4"=66 5"=I 02 6"=I 5 8"=2 6 (In Gallons per linear foot)] <br /> ;n - - - - -- - - <br /> ��3 <br /> 6:7 r <br /> 2_3 e� IL,,s8 <br /> �s3 1I �.b y? l 6 <br /> 61,p6 !f I,-a I � ..� I I 4s' <br /> - <br /> I <br /> I <br /> eragc:or Disposal Method SS Total Drums Onsite <br /> tnt Recharge Prior to Sampling Sample Collection Method <br /> rnple Labeled i W /+nw - ) Sample Time P Q Laboratory <br /> No of Containers <br />'nate Trip Plank Rinsate Slant- <br /> rents <br />