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1 <br /> Purge Log Form <br /> Project Name kN a cd le r D*_o.k Project Number g b -/j- Site Location <br /> ?I ell No Date 05"/6 s14 9 Field Tech A T <br /> Total Depth �a �� Depth to water 3 r Water Column Length `� y <br /> ' Casing Diameter Casing Factor Volume Calculation L Z- R <br /> Total Purge Volume / o Casing volumes Produced 3 'y Pump Type Gadd:, <br /> ' PH Meter s Calibrated &%r N Cond Meter Y ( _ Calibrated(S)or N <br /> ' Temp Meter ril Turbidity Meter /lA 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 Iinear foot)] <br /> Time- _w-=Prod Rate Gallons(total) DTW- - Ph - Ec Tem (°C) Turbidity Comments - <br /> ' ':1 b a-ss l .5 AA WA., � <br /> oa6 0 a 3 Y <br /> td l ti (7 V4 IT 114 1 3 s7 a <br /> 1 03U 37 "1b 0� Jasg <br /> 1 03s 3S' -4) label 7- A <br /> Storage or Disposal Method S-� �*-�. __. Total Drums Onsite �S <br /> Percent Recharge Prior to Sampling w, Sample CotIection Method .•c ��� � <br /> Sample Labeled r✓ ( Sample Time Laboratory <br /> ' <br /> Analysis 672 I �T No of Containers 3 <br /> y N� <br /> ' Duplicate Trip Blank Rinsate Blank <br /> i <br /> ' Comments <br /> I <br />