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Purge Log Form <br /> y <br /> Protect Name <br /> Project Number Sitz LaC�[ on r; 4-t <br /> . , <br /> Well No ~� Da P 03f i or. Field Tech 3 <br /> Total Depth S SS Dep�h to eater .Tl6 �,c Water Colur„n Lenc /7 <br /> Castng Dta;7eter Ca;tnB Factor Volume Czlculation 3 <br /> Total Purge Volume r 1 0 Ca<re volumes Produced 3 Pur-ip Type�r-ml� <br /> PH Meer K tc, Cali crated&or N Conn Meter ( 4-tv,-, <br /> Caltbratod-o or N <br /> Temp Meter Aak.Irl Tumidity Meer <br /> Calibrated Y or N <br /> [Czs,rQ Factor. 2"=.I7 ;"=.;3 4"= 66 5"=I 42 6"=l 5 8"=2 6 (In Gallons per lli-,e-rfoot)] <br /> T ;,� Prod R-te GatTors(totai) DT W Plt f EC Te-np (°C) Turotc3ry Corr-,Ie- <br /> AA j v, d.c� <br /> J+ f 37 tea-b <br /> 5Lorc4e or Dtsposal hf.thod__ S—,r <br /> Total Drums Onsite <br /> '-'ce-tt Recl',arge Prior to SampIirz /0j <br /> �} Szrnpte CaIl.ction Method—kQQ �� <br /> ScmDle Labeled fy 4✓- Sample Time ! Laborer ,orv- <br /> t <br /> No or Containers <br /> !:.tal,cate Trip Bla*:; <br /> Rinsate Blank <br /> CLQ"llii,'.'tlj <br />