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Purn Loa Form <br /> ProjertNarne. A-4 Project N=b r. / Site Location: a,' <br /> lI No. Date:_���l $�_�`� Field Tech: 4"r <br /> o Depth: ��• 1° Depth to Fater: y S Water Column L--n-vib: <br /> Carin�Diameter: �' CasinaFactor.. •�� Voturne CalCnlauon a- 1 <br /> y <br />'Total Pyne Volume: Casing volumes ProducedPump Tye <br /> PIH Meter _06 CallQiated:'JorN Cond.Meter�o4k _ Calibrated:( orrl <br /> Irernpmete'r. UQI'-/ Twbiei ty Meter: Calibrated:Y or <br />�Casin,-Factor. 2"-.17 3"=.33 4"=.66 5"=1.02 C--1.5 S"-2.6 (Ia Gallons ger linear foot)] <br /> =Teinn(°C}:Turuimtv-- <br /> syr twa # -- g_s� ►� � �3 I j <br /> 6 1 1'6.g 1 -1 b 6 .s-i }q6t I L) V NI. <br /> :orae or Disposal Method: J rO9 Total Drums Onsite: = 1 <br /> lit A charge Prior to Sampling: _ I���'� Sample CglIe_tion Method: <br /> lc Labeled: /��✓ ' Sample Time:. d 1 Laborntorv: - <br /> :cl4sis:_ 0)"Y /, •ni° ��m =fib No.of Containers: <br /> ate: Trip Blank: Ri=te Blank- <br /> i <br /> rats: <br />