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GROUND ZERO ANALYSIS, INC. <br /> Purge Log Form <br /> �WjectName J tiV w ie_S 0.I Protect Number - j F C Site Location_f 1(1cA1 uAv <br /> Well No `7 Date a Field Tech N s <br /> i <br /> t Total Depth a Depth to water y H S' Water Column Length_ `f S <br /> Casing Diameter / Casing Factor 6(1 Volume Calculation <br /> i <br /> Total Purge Volume Casing volumes Produced y u Pump Type ' I <br /> f <br /> E PH Meter Calibrated Ur N Cond Meter _. A�k <br /> Calibrated (Y)r N <br /> Temp Meter Turbidity Meter /V4 Calibrated Y or N <br /> [Casing Factor 2"= 17 3"=38 4"=66 5"=1 02 6"=1 5 8"=2 6 (In Gallons per linear foot)] <br /> I <br /> t< � ► DTW, Ph E� 'r t comments ' <br /> V9 ?4 3 Sys" F- <br /> 3y.s YJ 3 3-L fyo_ �l <br /> 35 y9 31 3L I`/Ef 7/ -P I <br /> i <br /> Storage or Disposal Method S S�ii.D Total Drums Onsite b <br /> Percent Recharge Prior to Sampling /1J X _ Sample Collection Method Ate~ <br /> Sample Labeled n Mw' y Sample Time 07 Laboratory <br /> Analysis %tk z in 0* t4 4-*1 6 v No of Containers—3 <br /> Duplicate P Trip Blank Rinsate Blank <br /> 0Comments <br /> I <br /> R <br />