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Purge _og Form <br /> Project Name Project Number �l �- 0 °� Site Location <br /> *ell Na 1 3 Date 057 0 ?9�rr Field Tech <br /> 4 f I <br /> Total Depth 3 Depth to wm <br /> ater b / _ Water Column Length <br /> P , <br /> Casing Diameter Casing Factor ' Volume Calculation <br /> b <br /> row Purge Volume S� Casing volumes Produced -Sy Pump Type <br /> PH Meter o�� Calibrated(�or N Cond. Meter /��j�� Calibrated (Y or N <br /> Temp Meter Turbidity Meter /�/A Calibrated Y or N <br /> rasing 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 Gallons(total) DTW Ph Ec Tem (°C) Turbidity Comments <br /> aT,5 a- � A^ Lf 6-1I )34q A/A Gcb OdM, <br /> y o-. ;-q ° 53 93 SB /3?,�- r 61 _rj u <br /> LI u 5-y IS' 67 <br /> Sy.bs- �, 6 l36g }S_c\ <br /> I ) <br /> .. )r,.ge or Disposal Method <br /> SS' Total Drums Onsite ? 1 <br /> ?=ent Recharge Prior to Sampling Sample Collection Method <br /> S=ple Labeled kfl Mui ' Sample Tune f\ Laboratoryl�sts c+ 17-26h/(r No of Containers <br /> D1Vltcate Trip BIank Rrnsate Blank <br /> Ccairnents <br />