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Nrctz Lou Form <br /> Protect Name Project Number 3�-3 Site Location <br /> • Well No Daie b R j 11/05' Field Tech A J <br /> Total Depth S 1 De Lh to water <br /> p -� `! Water Colu,,,,-i Length <br /> Czsing Dizneter7` Casing Factor 1� Volume CaIctilation .3 U <br /> Total Purge Volume 1 a Casi1-)g volumes Produced Pump T}pe Cjtic � <br /> PH Meter OPk- Calibrated stir N ConU Meter OA/L °" P /:,, <br /> Calibrat_d &or N <br /> Temp Meter QiC-ro� Turoidiry Meter Calibrated Y or N <br /> [Casirs Factor- 2"= 17 ;"=33 4"=66 5"-I 02 6"=] 5 8"=2 6 (In Gallons per Imear foot)] <br /> Time Prod Rate Gatlors(totz0) DTW Ph Ec Temp (°C) T L-oiCi-v Cor,,M, e,,s - <br /> IDI A <br /> 1 inti>> Q1 I Iso-7 j 3', L I <br /> Storage or Disposal itifethod <br /> Total Drums onsite <br /> Pc-cent Recharge Prior to Sam Fra Sample Collection Method � �l ,w . <br /> Sarnple Labeled-14A—mw-- (2 Sample Time / V57 <br /> P Labor�torv- <br /> la1y515 / UfiCL IK f f Z DC,4 4 Cp (�� 1Q:,6� <br /> No of Containers <br /> Duplicate Trip BlarL <br /> Rirsa_e a1a-0; <br /> Cornm,its <br />