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Ptlrffe Loa Form <br /> ProjectNwne: ProievtNumbl:- ) ?1i Site Location: � ^ <br /> rWell No: Date. 0I L /-?/D4 Field Tech 4-," -- . -- <br /> Depth, SS S0 Depth to Rater: t'1 S. 6-4 Water Column Len ath: <br /> - <br /> CacingDiameter. 2" Casing Factor, J ` Volume Calculation: <br /> 1'PotAzl Purge Volume: 6 t)•a Casino volumes Produc_d: s- Pump Trge: <br /> PH Meter: ����' Calfb ated:[Y)or N Cond.Meter: Q 11- °� Calibrated:6�or N <br /> temp Meter: Turbidity Meter M Calibrated:Y or N <br /> �asinI&Factor: 2"--.17 3"=.33 4'--.66 5"=I.02 6"=1.5 S"=2.6 (In Ulons per liners foot)] <br /> me = �r d`Rate=�r?lo ;tGGIj�iDT F--: h`� (°C}:Suividl -- <br /> s . # # 3 . I- I _�� I t y JL-7 I a? I I ew 0 <br /> qs� # s-� I - I �.�� f �3� # �-r•� 1 I <br /> .AQ <br /> f <br /> f I ,�.� f ��. f <br /> I I I I ! I I I <br /> :oragc or Disposal hiethod: �S" 2 Total Drams Onsite: <br /> : zt Recharge Prior to Sampling: �� - _ Sample Cgllection Method:_ <br /> : le Labeled: 1« A4v-1 ) -A SampIc Time: /�51 s� Laboratory: <br /> 1, L 4c4 e C 4 No.of Containers: I/ <br /> -late, Trip Bland:: Rinsate Blank: <br /> �at_s: <br />