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' e Lo Form <br /> Purge g <br /> ' Oject Name 1W W j-f P I � Project Number V Site Location <br /> g' 6 _ p r <br /> Well Na Date Q)51 �� j Field Tech <br /> ' 3 6 6 y Water Column Length 37 -H <br /> Total Depth <br /> TS' Depth to water <br /> ' 2 Casing Factor -��' VoIume Calculation 6 I <br /> Casing Diameter <br /> a S 6 Casing volumes Produced �� Pump Type <br /> ' Total Purge Volume <br /> �,c Calibrated�r N Cond Meter--)q y r1w Calibrated Y r N <br /> PH Meter <br /> Temp Meter Turbidity Meter ItA 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 Imear foot)] <br /> - DTW==-=Ph ==--Ec =-==Tern-f°C}-Tuitiidity_-Comments <br /> Time�—P�--ate�Gallons{total)- - <br /> 6 AA <br /> /�a� 9 6 6 `� ►iia 3TC iw VOL-, <br /> _6 (7°I 1 /T� 3 Ss �► s1°�r <br /> ' �3 I1 a3 ass <br /> ' s3 36,s4 <br /> Total Drums Onsite <br /> Storage or Disposal Method �`.T_ ' <br /> Sample Collection Method � - <br /> Percent Recharge Prior to Sampling <br /> y Sample Time / Sd Laboratory_� <br /> ' Sample Labeled_ 1� MW '/ <br /> 93CA �A� 64, a 6a No of Contain <br /> Analysis <br /> ers <br /> 2 y <br /> ' Duplicate Tnp Blank Rinsate Blank <br /> ' Comments <br /> • <br /> 1 - <br />