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Purge Lo Form <br /> g g <br /> Project Name �AAJ Ie T C Protect Number_3 6 Site Location <br /> ell No /3 Date /1/1 S Field Tech A_� <br /> Total Depth --�O 0-? Depth to water—y a_�S� Water Column Len <br /> gth <br /> ' Casing Diameter �rr Casing Factor - 66 Volume Calculation <br /> Total Purge Volume bW r Casing volumes Produced 3• r Pump Type <br /> PH Meter Calibrated "r N Cond Meter ave&.1. Calibrated(Y)or N <br /> Temp Meter. Turbidity Meter /A 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 Prod Rate GaRons(total) DTW Ph Ec Tem (°C) Turbidity _ Comments <br /> ' <br /> Storage or Disposal Method Total Drums l <br /> Onsite <br /> ' Percent Recharge Prior to Sampling _. DOL Sample Collection Method <br /> Sample Labeled k 1Z nn 3 Sample Time 1315- Laboratory <br /> Analysis �'e� 4 F3-6u ON No of Containers <br /> ' Duplicate Tnp Blank Rinsate Blank <br /> Comments <br /> • <br /> i <br />