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� I <br /> Pure Log Form <br /> ,– Protect Name 1C AvPU e R&tk Project Number g S AT,-J <br /> Site Location L*�, <br /> Well No V w: Datc b S �-s IV j Field Tech Q T <br /> Total Depth S 3 Depth to water 3 9 V y <br /> P Water Column Length a- � <br /> ICasing Diameter_._ _ Casing Factor--(�6 — Volume Calculation <br /> Total Purge Volume Casing volumes Produced_ Pump Type <br /> PH Meter �, Calibrated(Y or N Cond Meter <br /> Calibrated &or N <br /> Temp Meter +M Ttirbtdity Meter Calibrated Y or N <br /> [Casing Factor 2"= 17 3"= 38 4"=66 6"=1 02 6"=1 6 8"=2 6 (In Gallons per linear foot)] <br /> i <br /> Time Prod Rate Gallons(total) DTW Ph Ec Tem (°C) Turbiditv Comments <br /> 4S�► � I a o � — � ?� g Ss`o 'SIS /!.0 ,r�.�.r. <br /> o k X18 13 b <br /> ' 0a <br /> `! 6 ,O I & yy <br /> 0,10 <br /> � I <br /> Storage or Disposal Mctbod ss -C Total Dnims Onsite <br /> Percent Recharge Pnor to Sampling_.. PDO _ Sample Collection Method 44� , S'Az" <br /> Sample Labeled_ K A V w_ Sample Time 101:r Laboratory <br /> ' Analysis Q 1 OCA r,&0 g;(,c No of Containers Li <br /> iDuplicate Trip Blank Rinsate Blank ` <br /> Comments )1, <br /> 4IWOk <br /> t�i <br />