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i <br /> Purge Loi Form <br /> roject Name de" 1204 Project Number ��- /r 6 Site Location <br /> ' Well No -3 Date Field Tech A r <br /> ' Total Depth 0 Depth to water 3 -9 3 Watcr Colum i Length <br /> Cas.ng Diameter Casing Factor— `` Volume Calcidauort -3 . <br /> ' Total Purge Volume II.�-7' Casing volumes Produced 3.b Pump T}pe <br /> PH Meter AAfjVdIA Calibratedkyor N Cond hitter- -�e,v,_,A-- Calibrated e cr N <br /> Temp Deter Turbtdi� Meter-- _ Carnt: <br /> d Y or N <br /> ' (Czs,ng Factor 2"= 17 3"=38 4"= 66 5"=1 02 6"=t 5 8"=2 6 an Gallons per linter f000f <br /> 1 T-ine -Plod }tate Gallons(total) DTW Ph E Temo K) Turazdsty Comments <br /> 103 IU I 1 to a ! 3°1 .131 6.-.0 1 l yes I —,- ) I A VkL <br /> 1 /031 3 0 I 4. 0 I 163 1117s I s udu. I <br /> 10" 3-0 I —4. 0 -w (,.3`I11,11711 X1.3 IcGA - <br /> 11 b-,D H 0 )1, 0 ! 16.yo I S? I <br /> 03 <br /> Iy � all I <br /> ' StC'rcge or Disposal M.ihod w. rb �i �.. Total D-ums Orsite <br /> P--rc.at Recl rge Pnez to Sampling OJ Sa-rple Collection;�Se'hed I _�,,,�•. <br /> ' <br /> Sample Labeled � — <br /> P h/ SamplcTime 1 3S Laborator. ___ t— <br /> ' Amlysis 7e ? }l 'e'i. 0 Cw., ell No of Containers -3 <br /> Duplicate Trip Blank Ftinsate Blank <br /> Ccmments <br /> I <br />