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,z Purge Log Form <br /> Protect Name__ /' y]�{)Jri�- Protect Number �- ? Site Location j <br /> . WeIl No— _Y _ Date 0 (0 /)3)U*L Field Tech A J <br /> Total Depth 35-./0 Depth to water• Water Column Length J 3 3 <br /> Casing Diameter 7- Casing Factor-- - ) - Volume Calculation j.3 <br /> I <br /> Total Purge Volume A g Casing volumes Produced Pomp Type_ G.t4,.,( <br /> PH Meter I-hA c. � <br /> Caljbrated mor N Cond Meter—'JVA4,, <br /> � Calibrated �Y or N <br /> Temp Meter_/4 d kt- Turbidity Meter- Calibrated Y or N <br /> I <br /> [Casing Factor 2"= 17 3"=38 411=66 5"=1 02 6"=1 5 8"=2 6 (In Gallons per linear foot)] <br /> Time=_=Froth=Rafe GalIans(total)=DTW-_=Ph -=Ec-==Tern (°C)�Turbidity= Comments -------___- <br /> o4,S3 (,per 4 6; y7 6,-39 /oo-o 6b-s' ,A [sok., - I <br /> 6- GG 990 6 6.6 ao(, <br /> 04 ». — 6. 6j 63 6b <br /> 0107 90 66- 3 L <br /> Storage or Disposal Method Sj - Total Drurnts Onsite <br /> Percent Recharge Prior to Sampling__ /1» _ Sample Collection Method <br /> Sample Labeled —1 -kV Sample Time O FFd s' Laboratory <br /> Analysis f3 } r H L 1 k 0 c,e E pn AAAA jam„) $mob t�.?� No of Containers S' <br /> Duplicate Trip Blank Rinsate Blank <br /> Comments <br />