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` Purge Loo, Form <br /> Project Name J U 12 vh L project Number Site Location `r't z/&6t , <br /> •NO Date OL-11-4103 Field Tech <br /> Total Depth Depth to water a zr Water Column Length j b <br /> Casino Diameter Casing Factor Volume Calculation j <br /> Total Purge Volume J - Casing volumes Produced t7. �M <br /> Pump Type., C,%A4±Jn <br /> PH Meter Calrbratedrr or N Cond. Meter�4 ' c-� r(3")� <br /> . Calibrated�t,7�or N <br /> Temp Meter kta Turbidity Meter M Calibrated Y or N <br /> [Casing Factor 2"= 17 3"=33 4"=66 5"=I 02 6"=I S 8"=2 6 (In Gallons per linear foot)] <br /> Time =Pmd-Rate=Crallons{total)=DTW==Ph= Turbidity =Comments <br /> -1 J9, <br /> r I Y3 s. as Sar as <br /> < <ys j — i a1 3, <br /> I i1 t. Ci aj VG <br /> I i <br /> Scornge or Disposal Method Sf� Total Drums Onsite b <br /> Pc-cent Recharge Pnor to Sampling J Sample Collection Method dA, s �G- - <br /> Sample Labeled1 , - / V/ Sa' � Sample Time 1 ass Laboratory _ <br /> Analysis 7pjq& ! 6-Au ) Oxp.4 J. J- Dc4 s c'ra N%.Xfi, e1. o, No of Containers -S <br /> Dnpl,catc Tnp Blank Rinsate Blank <br /> Conunents /J/Lc f b <br /> Qb*,k 4PAJ Mw ' ] 33 yJ bb/1g1,rf, <br />