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Purge Log Form <br /> � � <br /> �roJect Name—7"Aft ProjectNumber- C} r" 0 S°1 Site Location <br /> WeII No -5� Date Gra r9Field Tech A. r <br /> Total Depth � 9 Depth to water C3 Water Column Length—12 <br /> Casing Diameter Lf Casing Factor Volume Calculation • 1 <br /> Total Purge Volume a-6. o Casing volumes Produced 4 .3- Pimp Type OmtTke <br /> PH Meter jA c. Calibrated Y or N Cond.Meter 1414m. Calibrated gor N <br /> Tem t <br /> P Meter <br /> _PAL, ` Turbidity Meter A/h 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 I <br /> I Time Prod.Rate Gallons(tow) DTW Ph Ec Tem CI Turbidity Comments <br /> ►] 0 3 (, r). L? 6 �]-9 3 ��, AIA sj.WA <br /> 04 asb o3 6•� �3F� �1-d.a Gao od.n <br /> AAII <br /> 6.s8' 3.93 <br /> k ' <br /> F <br /> c <br /> k <br /> Storage or Disposal Method j– Total Drums Onsite <br /> Percent Recharge Prior to Sampling Sample Collection Method Qom, <br /> Sample labeled I? w- - f Sample Time / a-S'0 Laboratory <br /> Analysis 13 / No of Containers <br /> t <br /> Duplicate Trip Blank Rinsate Blank <br /> I <br /> Comments <br /> s <br /> f i <br /> f <br /> I <br />