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PLIrge Log Form <br /> r SItL Location <br /> prp�ect rause Project Number <br /> Dat_ <br /> o� 3q Ic'S Field Tec; A <br /> Nell No D t <br /> water Colurrnn Length <br /> T c,al DepLh 1 bU:�.; Depnh <br /> Cas s:,a Dt?meter <br /> `)._ CascnG Factor_ _ » Wolume Calculation <br /> as-s <br /> Casing volumes produced 3•5- �'uraP T}pe <br /> Total Purge Volume �s y <br /> .� Calsbrated&or N <br /> Meter b�KicW Calsbratedo or N Coni <br /> P,. <br /> T urbsaaryMeter. Calibrated Y or N <br /> T C,—"p Mate. --� <br /> [CBZ,ra FP-Ctor 2"-.I? 3"=.33 4"= 66 5"--I 42 6"=I 5 8"=2 6 (In Gallons ger IL,:!r foot)] <br /> T+1e Prod Rata <br /> Gallop-c(tot-7) D T W Ph Ec Tt Coriw-ne,-L:s <br /> s s3a )331 116 <br /> 013 A-ID <br /> ,4"3 <br /> i <br /> S,orcge or Disposal Method- S' <br /> Total Drums OrssYte <br /> Pe•celt Recn¢ra: Prior to SarnpIirg /O 0A' Sample Collection Method <br /> s`!f Laba«'or�- <br /> ST:�o4e Labeled � Sample Time 1 <br /> �`- <br /> Ll <br /> t ��a No of Containers <br /> ■ -a3,ISIS <br /> t / 7 <br /> LJ71 C� '■ <br /> Trip$lZT ti IMPS%`: BIG-I1 <br /> con—!-,_ <br />