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PUrbe Lob Form <br /> Protect Name TU-r{ Project Number �S ,, .� <br /> 1 Site Location /I <br /> Well No Date G3/7-9or <br /> Field Tech ,o ; <br /> Total Depth S Depth to water S 3s Water Column Length . <br /> Casing Diameter Casing Factor , /I _ Volume Calculation <br /> Total Purge Volume b Casing volumes Produced 3 g pump Type <br /> PH Meter 00-4,v CaIibratedwor N Cond Meter OAA�— <br /> Calibrated (�or N <br /> Temp Meter—02,44 ✓ TurbidityMeter <br /> - Calibrated Y or N <br /> [CasLng Factor 2"= I7 3"=33 4"=66 5"=1 02 6"=1 5 S"=2 6 (In Gallons per linear foot)] <br /> i <br /> i <br /> i <br /> Tune Prod Rate GalIons(total) DTW Ph Ec <br /> Temp (°C) Turbiditti_ Comments <br /> o-� Lq-ss-157 s- <br /> 2 <br /> 2 I - X 03 9 r3 IIL <br /> 1 rid <br /> i <br /> r i <br /> I <br /> Storage or Disposal IVlerhod _ S'l _ Total Drums Onsite <br /> 'ercent Recharge Prior to Sampling Sample Collection Method <br /> ample Labeled Sample Time /D V-� Laboratory ri <br /> alysis J3 3rc! cry 4 i, 2 Ara o cap 0 <br /> No of Containers <br /> ilicate Trip Blank <br /> Rinsate Blank <br /> lents <br />