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GROUND ZERO ANALYSIS, INC. <br /> Purge Log Form <br /> jest NameN�w� r oQ Project Number_ X18`1 Site Location So <br /> Well No j Date _3-0 13 Field Tech /3-,' <br /> Total Depth �_Q_ Cly Depth to water Water Column Length <br /> Casing Diameter Casing Factor 6 Volume Calculation / y,3 _ <br /> Total Purge Volume y Casing volumes Produced ] Pump Type G+� <br /> PH Meter Calibrated�r N Cond Meter f4 Calibratedbor N <br /> i <br /> Temp Meter _ Turbidity Meter Calibrated Y or N <br /> I <br /> [Casing Factor 2"= 17 3"=38 4"=66 5"=1 02 6"=1 5 8"=2 6 (In Gallons per linear foot)] <br /> t <br /> s >> 1Xl1 £ Tarte vs : 'lir €t > Thin "#x v Comments <br /> 1183► IFT(f 0 Gcn 0:-' <br /> 1313 /s sa 0y " -?r 19/)- [� <br /> 49 u F 37 (,,3 <br /> V TA cy b 36 /g w <br /> 1 <br /> h <br /> c <br /> Storage or Disposal Method TotaI Drums Onsite r i? <br /> Percent Recharge Prior to Sampling— / JO Sample ColIecti,on Method Q' <br /> I <br /> Sample Labeled KZ MW' SampleTime 1 y�o <br /> Laboratory <br /> Analysis /1Tt+ 7?� ,vti W F.L 6" No of Containers y <br /> G <br /> Duplicate Trip Blank Rtnsate Blank <br /> e <br /> mments <br /> t <br /> r <br />