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Purge Log Form <br /> Dial Name �� `"'"' "'�^, Project Number g cite Location <br /> Wcll No 3 Date�4 2 LU? Q t) Field Tec? <br /> Total DeYt s�,l o Depth to water, 3 9 .@ Water Col urm Lengt� ! 0 <br /> ' Ca iz Factor VoIumre Ca1r.:aLon 3Casag Dix-new- SII . <br /> _W <br /> ' 'Focal Forge Volume 0 Casing volumes P:oducrd Pumo T}Te da. � <br /> PH M.":" Calibrated &or N Cond hive- L,JAv-_ CalibratedCY)r N <br /> Temp Leer 'w Tumtd,n Meer AA Cahor tcd Y or N <br /> ICP--:,ng F'actcr 2"= 17 3'=38 4"= 66 5"=1 02 6"=1 5 8"=2 6 On Gallons pc- Ccct)] <br /> ' T-rrc -Prod Rate Callars,total) DTW Ph E: Te-:c ('C) Cc:-L:i..re-,ts <br /> �a , o I r 11 139 of 6_ AA 14ti,,m <br /> ' aaa I LI o l s o I <br /> E13 ? o da { 3 o I ! I I 1 s�s l 22.3 I <br /> I I I { I r I <br /> I I I I I I f f <br /> ' Stcrger Disposal l=thcd s �' Toul Drums Onsite <br /> Prcc Rc--h=gc Pnat to Sampling- / 00L Sa-rplc Collccuon%Tc,.hcd <br /> Sample Labeled kA M?,✓- 3 Samplc Time31 U� _ Labor-tar:, <br /> Analms I Pti l�k a.a 64 �sJ-�i Not+CContaine, t/ <br /> ' <br /> Duplicate p ate Trip EIank lti=-.Blank <br /> Ccmmncais <br />