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Pure Loi Form <br /> Project Name � 'V"�"�' '`' Project Number J g Site Location S-4-J-4.111 <br /> No I Date 00 a-3 f o 3 Field Tech— A s <br /> To�I Depth is riS Depth to Rater y3 G r Water Column LPnsth 3 a JY <br /> Casing Dtameter CasinFactor- <br /> 01� Volume Calculation S S <br /> Total Purge Volume al Casing volumes Produced 3 S pip Ty-pe <br /> PH ivfeter 014fv^� Calibrated Q or N Cond Meter OAkt*,' <br /> Calibrated (ylor N <br /> Temp Meter A IQL N Tumidtty l4feter <br /> Calrorated Y or N <br /> [Cas,n;Factor 2"= 17 3"-38 4"=66 5"=1 02 6"=l 5 8"=2 6 (In Gallons per britar foot)] <br /> Tim RateCal!ons�tfltal} DTPh_= Ec=�==T:.n�(=C}- Ttu�adltv-=Comffe-ts� <br /> o9.sy a �,��. f + 3 r �� AA c,j,J,. - <br /> 0158IIf �b 1/0 <br /> 00 I 3 1 I SI <br /> -rage orDisposal Method Sf Sij Total Drums Ons,te <br /> a <br /> P='=eut Recl,arQe Prior to Sampling o a G3 Sample CoIIecuon Method <br /> Sa-iole Labeled Sample Time ] S <br /> p __L_.� Laboratory -- <br /> zcl�s,s b-&t JT tlG Clxr <br /> &A ., Cp8 IVI G L No of Containers � <br /> );_c1.cate Trip Blank RuLsate BIank <br /> Cc-,rne;ts <br />