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i <br /> Purge Log Form <br /> Prercct NIMC TSI) �7JiL.��-- Pro:c_t \,!--ibcr a—�3 S,tc Location <br /> Nt ell No �( Datc O3 /yt J Ftcld Tccl, �° <br /> Total Depth Depth to uatcr 6J_ Off— V4 atcr Column Lcn;tlt �.`f, b o' <br /> Cas.n;Dtarnc+er C2s,n;ta_tor •�� volume Calzuiauon <br /> Total Purg_Volum: T-0 Cas,,l 0IL^t=s P-Da i:z3 3 -� Pump T%-pc <br /> P i\Ic+cr 9or N Cc-,d Nictc- Lh {rte Calsorat--�G)cr 1\ <br /> T.--,p M.-ter T timimt, Nlctcr Calvo atcd Y or N <br /> fC2s,r!!Favor '"= 17 Y= 35 05 -';'=1 03 a"=1 5 S =3 5 {In Gallons pc, ]..,=foot)] <br /> Giicar.s D T%4 P1 E: Tc—,r){°C) T=i::j,) t Cc)—,, cnt5 <br /> I 667 /, `� 1 , 6 61 Oz If 6� I� A sa II� �o$ A I waJG. <br /> I Jald I � s 3,s I - 16s3 190 f ��.s 1 A4- <br /> 1 / 0) <br /> 4-0 9 s C, J - 6S1 f UL <br /> cra3'e or Disposal INfcao� sr n,u �, Total Diu1T 5 Onstte J Y <br /> Pnar to SGTot+rs por° Sam:ie Col]cc:ion '`fethod � 4961�1- <br /> S;-L.-nple Label.d_�L✓ /+�W - y 5a.,.t ,e ) ) j- <br /> o Tt-- Labor3ton <br /> c4 Erg 4141 /eft e16.a No of Con ainers <br /> DuDhcat- Tnp Blank Rinsate Blank <br /> Comments <br />