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Purge Lo Form <br /> g g <br /> I ' Project Name tiD l e r Protect Number 9 s` 1 Site Location s "►- <br /> Il No a- Datey a-- / 0 9 q Field Tech Q.-? <br /> Total Depth 3,9 Depth to water 29-P) Water Column Length 3 y I ci <br /> ' Casing Diameter Casing Factor /17 Volume Calculation S g' <br /> Total Purge Volume a�f-° Casing volumes Produced Pump Type <br /> PH Meter Calibrated�)or N Cond Meter 11 A- Calibrated(Y)or N <br /> III Temp Meter ANAA-9- - Turbidity Meter 11.E 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 /> Time=j - Prod 4Rate TGaIlons(iotal) DTW_ - Ph - Ec - Tem (°C) -Turb�diiv=-T Comments - <br /> ' ?9 ] 6.8' 139 o_a A <br /> S <br /> "4 ,s' <br /> Y a �+ J-39 G9 IF <br /> 1 <br /> 1 <br /> Storage or Disposal Method frgJ rLAA"~ _ Total Drums Onsite S <br /> Percent Recharge Prior to Sampling 1 ��' C Sample Collection Method Q <br /> Sample Labeled Ik n M,IIZ '_��- Sample Time SSD Laboratory <br /> ' <br /> Analysis 67t,* T)b I �'� 6 o ())'Y-r-PVAJQJ No of Containers Y <br /> tDuplicate Trip Blank Rinsate Blank <br /> ' Comments <br /> F i� <br />