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Purge Log Form <br /> o / <br /> �ect Name /ICV �4 � Project Number Site Location-5 <br /> Well No Date . ' o , Field Tech /I c <br /> Total Depth U, F Depth to water Water Column Length ` <br /> Casing Diameter Casing Factor I Volume Calculation 9154 <br /> Total Purge Volume `"f 3 Casing volumes Produced Pump Type (,r U, <br /> PH Meter fly JA Calibrated (Yar N Cond Meter_ NY�/�` Calibrated&or N <br /> Temp Meter :/ -A- Turbidity Meter LA Calibrated Y or N <br /> [Casing Factor 2"= 17 3"=38 4"=66 5"=1 02 6"=1 5 8"=2 6 (In Gallons per linear foot)] <br /> Time W =-Prpd=Rate- Gallons total) DTW= Ph= W Ec TemLL (°C) W-TurbidityCoMITIents =-T <br /> C,-7 r <br /> t�c� <br /> 3t V 7,l.ct 9r <br /> w <br /> Storage or Disposal Method s �O i <br /> Total Drums Onsite <br /> Percent Recharge Prior to Sampling Sample Collection Method J of+ cL <br /> Sample Labeled iy"",4 q4 Sample Time 5-S iaborato <br /> Analysis tZh/ - N ,1 Ox> T,VAY , f / J_ JIcA f o& 6V No of Containers <br /> Duplicate Trip Blank Rinsate Blank <br /> Comments tle 11 v, <br />