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Purge Log Form <br /> ' Project Name flWa Project Number 9 b ' 1 ?� Site Location STatk�vti <br /> ell No �— Date DS'/Ob i g� Field Tech A j q <br /> Total Depth s6 g s Depth to water 3�.`!`f Water Column Length <br /> ' Casing Diameter I- Casing Factor � Volume Calculation 3 3 <br /> Total Purge Volume 13 Casing volumes Produced_ Pump Type /3ad- <br /> PH Meter V ` Calibrated 0 or N Gond Meter V Calibrated &,)or N <br /> Temp Meter " Turbidity Meter _ AA Calibrated Y or N <br /> ' [Casing Factor 2"= 17 3"-38 4"=66 5"=1 02 6"=1 5 8"=2 6 (In GallonsPe r linear foot)] <br /> 1 <br /> Time= --Prod Rate f=Gallons(total) DTW Ph - --- Ec Tem (°C) Turbidity Comments -- - <br /> ' 037 1 6 1 6 37 , Y1 00 � Jq '�3 9 AA w � .,- - <br /> t 1 s0 � 0 S ti - o<l 9 X8 �a <br /> 0 3 y c 6 9 '/?' <br /> c175 4) <br /> 1 <br /> Storage or Disposal Method SS 'r"! t _ Total Drums Onsite S <br /> Percent Recharge Prior to Sampling !b0 16 T Sample Collection Method `� ja� QA C <br /> ' Sample Labeled �� /''rr✓ ' a- Sample Time X 31 Laboratory Q::! =- <br /> Analysis }e'+*)! 7-P <br /> 1�tr No of Containers 3 <br /> Duplicate Trip Blank Rinsate BIank <br /> ' Comments <br />