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Purge Loa Form <br /> oect Name_ 1�AAQ)R r&A Project Number f �b Site Locatsan s14J-61, <br /> ` Well Na Date O-3-1 a s j o!) Field Tech A <br /> 1 <br /> Total Dertlt -`� Doth tc water 3 8. r Water COIL,=Ungt. N-?,6`1 <br /> ' Ca<:ng Mamcler .1 Casing Factor ` 6G Volume Calcalauon JL <br /> Total P-argc Volume b I Casing volumes Froduc:d 3,1 r-,"c T}-Pc � <br /> tFH Meer Calibrated O er N Coad Nfvc• &01�.- Calibrated Qcr N <br /> ' Temp Meer� Tuntd,n Meer ,AJQ Cahorate� Y or N <br /> (Cas.ng Factor ."= 17 3°=38 4"= 66 5"=1 02 6"=1 5 8"=2 6 Cn Gallons pc-li^ezr foot)] <br /> T-r"e -F;,d Rat: Gallonsitotal) D T W P` Fc Te~7 {'C) Tu��d.� Cc-�.r,e-,Ls <br /> 1 tovo I �r I 13� �r I -18 I Iyu- q14 I .A I wA111, <br /> b101 I I �� 0 1 y � .a� l rw t X523 124 kJ 1 <br /> 0),3 I I b LID I as 1135- 3 1 I ,firs 4.� <br /> lora IJf u 1 a -1 I 1. 113 %17 1 11 1 1 f <br /> 3 1 I 6` a u3ZI 3- I1314r <br /> I I I I I I <br /> Stcrrg_or Disposal hi_thcd ST F4 Total Drams Onsite <br /> Rcc:aar e Frau to Sampling-_ 0 -r lc Nt 1.r-a-Z - <br /> 8 � ,._ Sa p Collect�cn, e!acd <br /> ' Sample Labeled k/ - Samp[c Time /y YS L.abarator;, <br /> Analys,s 47;Wzo A L 0)(�41rz4f Itio aC Contaize:s <br /> Duplicate v Trip Blank Rina,,Blank <br /> ' Ccmtnents- 1 <br /> Jti <br /> � its••v <br /> � t — <br /> •a <br />