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Purbe Lob Form <br /> Project Name:_ Project Number: Site Location: <br /> o: Date: 4 +-) a1 fir- Field Tech: A, � <br /> 'Total Depth: S F Depth to water: q q-r1 Water Column Length: /1 14u <br /> Casing Diameter: 0- <br /> Casing Factor: -14 Volume Calculation: .I., ! <br /> ,Total Purge Volume: Casing volumes Produced: 3. Pump Type: fir' a—' <br /> �HMeter- ()4+r�yov Calibrated:(9or N Cond.Meter: Calibrated: Vor N <br /> Temp Meter: OA b'r Turbidity Meter: AA Calibrated: Y or N <br /> Casing Factor: 2"=.17 3"=38 4"=.66 5"=1.02 6"=1.5 8"=2.6 (In Gallons per linear foot)] <br /> ime Prod. Rate Gallons(total) DTW Ph Ec <br /> Tem ( C) Turbidity Comments <br /> 11! b i -" 4 Y_ sl 6 l J-3)) �a.z AA w c�6, cam, <br /> OF <br /> y f aq q <br /> I-XI-1 ya s Oil <br /> lorage or Disposal Method: sf L <br /> P Total Drums Onsite: C <br /> rcent Recharge Prior to Sampling: <br /> 1I 0 Sample Collection Method: � - <br /> Sample Labeled: M'►✓ ' 'I- Sample Time: !31s Laboratory: <br /> talysis:_ Uky 1 /, Z .001 s CM 6V �.�A;;, No.of Containers: <br /> plicate- Trip Trip Blank: Rinsate Blank: <br /> Comments: <br /> 0 <br />