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Purze Loa Form <br /> SSG.. <br /> Project Name: Project Number.. � ,Site Location: <br /> No: )b A Date: ) /' �oField Tech: 13,1 <br /> otal Depth: 5 r' Depth to water. b 3 Water Column Length: <br /> LCasinffDiameter: Caasinzfactor: ' Volume UcAatiOr _Lj- - - ,__ <br />'Total Purge Volume: _ Casinz volumes Produced: S Pump Type: <br /> P;1 Me;er:_tJ� 1`"''' _- Calin.atedG)or N Cond.MeterAA ALS CaUbrated:Wor N <br /> Temp Meter. Turbidity meter.—AA Calibrated: Y or N <br />�Casin;Factor. 2"=.17 3"-.33 V--.66 S"-I.02 6"=I.5 8"=2.6 (In Gallons per linearfoot)j <br /> ime=�Psiid�ate=C�c=�;to#�I)�A��h`�.�E.=—=Te:nii�°C}T.�"uriaitv_�Coriimcats= - <br /> t <br /> toraac or Disposal Method. J qq Total Drums Onsite: <br /> tit ltcharge Prior to SamplinSample Cpllection Method:_�� <br /> Labeled:_kA A AU/ - 16/� Sample Time:�� Laboratory:' �—� <br /> ;Ie <br /> ysis: � - %® 1 �'"l � °` £�� �= __ No.of Containers: <br /> VIC: Trip Blank: Rir=t_Blank:_ _ -- <br />