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i <br /> Pure Loq Form <br /> . rod=Naive mkdler R44 Prolcct Number �T' 186 Site Location Z . <br /> Well No Date » Field Tech �4 r <br /> Total Depth F 6 ' Depth to water y 0-L%3 Water Column Length y <br /> Casing Diameter a- ___ _ Casing Factor •1I Volume Calculation G. 2- <br /> ' Total Purge Volume 57 Casing volumes Produced 3- Pump Type 4- <br /> ' PH Meter A Calibrated &or N Cond Mater /44,Ara Calibrated&Cr N <br /> Temp Meter Turbtditr Meter AA Cahbrred Y or N <br /> ' [Cas,ng Factor 2"= 17 3"=38 4"=66 5"=I 02 6"=i 5 S"=26 (In Gallons per Iincar foot)] <br /> T-m: —Prod Rate Gallon s( 7 .� <br /> Gallons(total) DTW Ph ):c e e ..a ( C) Turbidity Comments <br /> HY6 S UriI I `I0.a3 I G 6o I yse, o- -; I ,iA <br /> 1 145- I s f yo -L1 16. 9 ;-a o I a 1. w II arL-. <br /> X153 I I .r IkeT.016 H3 11 aac I a_Li I I 1 <br /> f I I I I I <br /> ' Storrge or Disposal M,thod ST To+sl Drums Onsite <br /> i ' Pcrce tt Rccharge Pn"to Sampling �_ •� W Sa-rple Coll-.:tion hie,hod 4 <br /> Sample Labeled W - Sample Time tit/L Laborator, <br /> ' A:ulysi; No or Containers 3 <br /> Duplicate Trip Blank Rinsare Blank <br /> Ccmments <br /> I <br />