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Purge Log Form <br /> SII al• <br /> Protect Narne-G- Project Number_—a s'�, _r Site Location JUR-kt <br /> ,Well No Date 03 I o? o`l Field Tech )0-3 <br /> Total Depth�3/ Depth to water AS' Y'W Water Column Length <br /> Casing Diameter Casing Factor / <br /> .— _ - Volume Calculation- <br /> Total <br /> alculationTotal Purge Volume S 4 _ Casing ' <br /> volumes Produced V 5- <br /> P Type <br /> Pum T f� <br /> PH Meter Icivv Calibrated(Y or N Cond MeterXa�� <br /> _('�Q � Calibrated &or N <br /> Temp Meter dA+(►cv Turbidity Meter ACalibrated Y or N <br /> [Casing Factor 211= 17 311=38 411=66 511=1 02 611=1 5 8"=2 6 (In Gallons per linear foot)] <br /> Time=`==Prod=Fta#e- Gallons{focal)=DTW==Phi—� Ec, =Tein"(°C}:Timidity Co� fits --- <br /> 1ao.F AA <br /> 'r13q 611 j <br /> L 14`? ei3 �7 l V <br /> _ � f <br /> Storage or Disposal Method Total Drums Onsite <br /> Percent Recharge Prior to SampItna ! l?J Sample Collection Method <br /> Sample Labeled Mti✓ ' Sample Time I,7dSS Laboratory f - <br /> Analysis &?A, {#l./ �►� / ��1 Sc�„ J,�,prwr, � f p7 N �Q�� No of Containers � <br /> Duplicate Trip Blank RRnsate Blank <br /> Comments i�m� 111 i3 Tt�v S �s <br /> 0 <br />