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Purge Log Form <br /> Protect Name Protect Number Site Location <br /> Well No Date Ly3/ X9Ic: Field Tech f <br /> Total Depth Depth to eater S Water Column Length L <br /> Casing Diameter 7L- Casing Factor Volume Calculation . r <br /> Total Purge Volume 1 k_> 0 Casing volumes Produced <br /> Pump Type <br /> PH Meter CaIibrated chlor N Cond Meter—("t-4%%l _ CaIibrated< br N <br /> Temp MeterLY�k�` Turbidity Meter AA Calibrated Y or N <br /> [Casing Factor 2"= 17 3"=33 4"=66 5"=1 02 6"=I 5 8"=2 6 (In GaIIons per Iinear foot)] <br /> Time Prod <br /> !! Rate ++ GalIons(total) DTW Ph Ec Temp (°C) Turbidity Comments <br /> O14 ) AA ��>�. th -. <br /> 3 .0 + -� /� 143 /go <br /> 1r /o yqo919 <br /> ++� , Oy b <br /> I+ 1 II <br /> Storage or Disposal ititethod 5 Total Drums Onsite <br /> Percent Recharge Prior to Sampling a G Sample Collection Methods <br /> Sample Labeled 7 MW Sample Time / Laboratory <br /> Analysis 6 4. 1-7 ,uc / C J f J, Z Ccs "r f No of Containers <br /> duplicate Trip Blank Rinsate Blank <br />.omme-its C)C. <br />