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PuT Re Loi Form <br /> PJcName F1e_t u.rer 3 Site Location wnam. <br /> �`_ <br /> Weil Na Date 69 /a,;k,/e wa Field Tech Q r <br /> Total Depth Depth tc watcr Water COMM'.Lengtl q - <br /> Cas.ng Diameter_- Castne Factor Volume Calcula=n <br /> Tout P•irgc Volume _ Ca;tng.climes r:rJduced ��� Pur-o Type <br /> p~ Caficmted 63 or N Cond hicie- N� Calinrated Yr N <br /> Te-np h'c;er r'�1/" Tsrmd,t. ?.fete- Cal or-,,,-' Y or h <br /> [Czs.:'g Factor 2"= 17 3 38 4"= 66 5"=1 02 6"=1 5 8"=3 6 +Cn Ga;:crs pe-is^c:r foot)] <br /> T,me -P-ad Pate Gailcrs,'total) D T W Fh Ec Tc--;o (=C) T emid.ty Cc-,.une;ts <br /> /-30-3 I ( i s ., 1 $ 1 4 T N 1 —� L l I LJ 0,4*, C;m-e—, <br /> I I 13 -x I 16 -;). I A'd Oda^ ! <br /> lS G 7-r. 6 9 � Y'rb 1 �0 c I ter; <br /> 31b 1 v 1 yY,Gw l 6 y-4 1 -30 S. <br /> I I I I 1 i i i <br /> Stcrgc or Dt5posal hfo,hc4-4 _ .`sJ J Toral 0-ami Ors to 1 4� <br /> net targe?-,CS to sampling J UD Sa-rplc Collecticn Mve cd l --- <br /> Sample betel s W - Sample Time I y Sf Laoortar. -- - <br /> A: lyS., <br /> No of Containe-s <br /> Duplicate Trp Elnr,c Rin z—e -1_Rk <br /> Ccmmcr,ts <br />