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Purge Log Form <br /> i <br /> Fro rv+tr' P(�`x��)ect Name � Pro ect number c <br /> 1 Site Location s` � <br /> No I S .4 Date o�j X)f a; Field Tc--hA 5 <br /> Total Depth SS 5 Y Depth to water L/3 3 Water CoIumn Length /� 1 <br /> Casing Diameter )L Casing Factor Volume Calculation- <br /> Total <br /> alculationTotal Purge Volume } Casing volumes Produced Pump Type <br /> PH Meter QA Wv- Calicrated Vor N Cond Meter oAklIc— Calibrated �)or N <br /> T::np Mete,- UAkfuN TurbidityMeter Calicrated Y or N <br /> [Czc,ng Factor 2"= 17 3"=33 4"=66 5"=l 02 6"=1 S 8"=2 6 On Gallons per linear foot)] <br /> T„ieI Prod Rafe-=f C1cneZtatal} F3TC�= Ph =Ec=—=Te•nn(=C)--T,ur,AAs�ratv-=Corrur <br /> 0 �F I i I �►. i 4 1 43 X13 -7 j o 95-c i �.3 i AA i woh, &Llc ,- ---- <br /> 0?3? :570 I1 - G b i 9Y'� <br /> D Tis' i i �.� I �. i qua I as U i E L {T. <br /> Vr.?q i 6 c.= I q?9 <br /> i i i i i 1 i <br /> S c-aee or Disposal Nfethod_ S'5- <br /> Total Druris 4ns,te <br /> Rezzh=e Pnor to Sampling I �� Sample Collection Method <br /> Sz-iple Labeled Mw /5'1 Sample Time /076 Laboratory <br /> As:ltisis !�fe f T y(_ U p t n r oa ( v;cc No of Containers <br /> >r cI.catc Tnp Blank Rinsate Blank <br /> Ccnne^ts <br /> Y4� <br />