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Purge Log Form <br /> Project NameProtect Number ' Site Location <br /> 0 No Date o���L-; Z3 Field Tech 4 f <br /> ToW Depth '72 91 Depth to water y 3 3bL o <br /> Wate�r Column LPn_h � IS <br /> Casing Diameter J- Casin0,Factor 11 <br /> VoIurne CaICulavan S' ! <br /> Total P1tr2e Volume Casin;volumes Produced 3.S ` Pump Type <br /> PH deter Ut(," Calibrated())or N Cond Meter QAk4t- Caliorated�Y)or N <br /> Temp hfeter U�kf 4� Tumidity Meter /A <br /> Calterted Y or N <br /> [Czc,n;Factor 2"= 17 Y=33 4"=66 5"=103 6"=15 8"=2 6 (In Gallons per hr:ear foot)] <br /> Corrects <br /> a A � -J 6 1103) ail � � iw 04. <br /> b 9J- <br /> S catiQr orD,s;-csal hfethod SS P.) <br /> Dol Total Drums Ons.te <br /> �r.'cezt Re.;as ge Prior to Sampling ` Q l•� Sample Colle:taon Method � /' -J-. <br /> Sa--iple Labelled J</Z ,Mw - Sample Time t f r f abaratory CLy <br /> A�al}55 Q�ek �T f1(r o� I, 1 Oc^ f COQ 6r �:.�• Na ofContaane-s � <br /> r_cl:car <br /> Trip Blank R.ansate PIank <br /> Cc Unelts <br />