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Purbe Lob Form - <br /> Protect Name 1 L)4 f 8 p Project Number 33S Site Location Z'V,,A d <br /> Vell No Date �s �P1e�" Field Tech .4 <br /> Total Depthy, �� <br /> Depth to .4ater Water Column Length <br /> Casing Diameter ,- Casing Factor Volume Calculation <br /> Total Purge Volume 3/.s— Casuig volumes Produced Pump Type <br /> PN Meter Calibrated Uor N Cond Meter [Y'x <br /> Calibrated.rYJor N <br /> Temp Meter d Turbidity Meter ,ttiti Calibrated CY,or N <br /> [Casing Factor 211= I7 Y=33 4"=65 5"=l 02 6"=1 5 8"=2 6 (In GaIlans ger linear foot)] <br /> I <br /> rTj,- Prod Rate GaIlons(total) DTW Ph Ec Temp (°C) Turbiditv Comments <br /> fI)}a1I� jj 1 3-� s ��yy 3 j f a!`l�- �►oUs�yy aaoLI 9a' 1 I sf <br /> NAA) A- <br /> 3-11 <br /> � s <br /> Lr %7 0 L s4 <br /> ��, <br /> SLorwge or Disposal Method �r Total Drum <br /> q s Onsite <br /> Pe-cent Recharge Prior to Sampling Sample Collection Method .�R.�.. <br /> Sz—nple Labeled w • f 1 G Sample Time y/s Laboratory <br /> Analvsis ibLt ; ,IG ! '.r / <br /> No of Containers y <br /> D?olicate Trip Blank Rinsate Blank <br />-omments <br /> r 4W --�f �2r <br />