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Puree Loa Form <br /> Protect Name V-�'�' �j;,1 <br /> t Project Number 33-r Site Location �f/� <br /> _LV by'it"-'a <br /> Well No S Date 0319A)c� ` <br /> Field Tech -0 <br /> Total Depth Depth to water `I 9- S <br /> p Water Column Lentrth <br /> Casing Diameter 7- Casing Factor )-4 VoIume Calculation D--4 <br /> Total Purge Volume / 0 4 Casina volumes Produced `i•-3- Pump Type <br /> PH Meter CJS rq"v Calibrated or N �' <br /> Cond Meter Ca ki-v Calibrated �'ar N <br /> Temp Meter—k-210k4-1_ Turbidity Meter AA Calibrated Y or N <br /> [Casing Factor 2"= I7 3"=38 4"=66 5"=l 02 6"=1 5 8"=2 6 (in Gallons per Imear foot)] <br /> Tune Prod Rate Gallons(total) DTW Ph Ec <br /> Temp (°C) Turoidit_v Comments <br /> q. <br /> loci <br /> 1003 O.Lu 41 <br /> ell <br /> S,orage or Disposal -�f <br /> = p 1 Method Total Drums Onsite <br /> Pd-c_nt Recharge Prior to Sampling Sample Collection Method <br /> Sample Labeled .�'+'1W ' r Sample Time !l 3'-r Laboratory <br /> 4nalysi5 '�'�' T �� � U�.j/ ,� l z. d <br /> No of Containers y <br /> hialicate Trip Blank Rinsate Blank <br /> ornments <br />