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Purge Log Form <br /> WO <br /> Name /J� � Pro�eci Number t 1`!ir1 Site Location <br /> Date O L 1103 Field Tena _A <br /> Total Depth 3 t Depth to water Water Column Length <br /> Casing Diameter Casing Factor i Volume Calculation—_ J Lf <br /> Total Purge Volume 1 1 v Casing volumes Produced S L pump Type <br /> PH Meter ()Akl,,.r Calibrated 67 or N Gond Meter (W-7-,41 Calibrated �)-or N <br /> Temp Meter O-A("—_ Turbidity Meter—AA Calibrated Y or N <br /> [Casing Factor 2"= 17 3"=38 4"=66 5"=I 02 6"=1 5 8"=2 6 (In Gallons per linear foot)] <br /> Tiine- E=Prod Rate Gall ons(tota1 DTW= Ph====-Ec—==Temn(°C} Turbidity--- Comments===== = <br /> es 3 -?r, <br /> r�-'? & 1 - -916 9 GS JL n Q�•�( <br /> Storage or Disposal Method S� Total Drums Onsite <br /> Percent Recharge Prior to Sampling l i Sample Collection Method +�•�f ���- <br /> Sample Labeled Q r /'n tv Sample Time 1 t3 0 S- Laboratory <br /> knalySlS .I !r'cA fCG' � /+ Szt�►, 4�' <br /> L �' No of Containers <br />)upiicatc Tnp Blank Rinsate BIank <br />-omments <br /> • <br />