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Purge Log Form <br /> P ct Name ) t�l U L�° Protect Number 3-6 3 Sxte Location `r4'°`�•`- <br /> We 1 No �- Date Field Tech C J' <br /> Total Depth 3 Depth to water G / 31 Water Column Length 13 19 <br /> Casing Diameter Casing Factor - Volume Calculation- <br /> Total <br /> alculationTotal Purge Volume Casing volumes Produced s M Pump Type C AII,.I" „ <br /> PH Meter Calibrated&or N Cond Meter Calibrated (for N <br /> Temp Meter C)Akt,)W Turbidity Meter "4 Calibrated Y or N <br /> [Casing Factor 211= 17 3"=38 4"=66 5"=102 6"=1 5 8"=2 6 (In Gallons per linear foot)] <br /> T3 me-=-- ro�=Rate T Gallons(total) DTW=RPh=e =Ec —Tem-('C)=Turbidity=-Comm=ents —=- - <br /> i 1413 / c� �y-3t '?3 6,--A' / I 3 I )A 4r -- <br /> 4)9 a _ (,lY ) g.r tib►. C <br /> 1141-3 f 4 10 611- A�i 3 /arT, <br /> 633- (21) 3 A,,0 ods, <br /> 93 `l <br /> i <br /> Storage or Disposal Method rr Total Drums Onsite <br /> Percent Recharge Prior to Sampling_. 1 t)z Sample Collection Method lr,,-.- <br /> Sample Labeled TW /-1w f- Sample Time T 3 c) Laboratory �-- <br /> Analysis /Ti'111, / c:xy // 1 Jct erja 1"aA �� 4� No of Containers S <br /> Duplicate Trip Blank Rinsate Blank <br /> Comments <br /> i y <br />