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Purge Log Form <br /> 1 <br /> Pro Name J' tJ�� fl Project Number Site Location ' lTec,a <br /> Well No - Date o 6_ Rla Field Tech 1411 <br /> FoW Depth / 9 S s Depth to eater 6 d-q Water Column Length /3 S6 <br />:.acing Diameter 1 Casing Factor Volwne Calculation 3 <br /> Cotal Purge Volume_ /0 o Casco volumes Produced ��•� <br /> g Pump Type <br />'H Mete: 00-4ml Calibrated 0 or N CondI4feter_(���`��_ Calibrated ):or N <br />"emp Meter Ck1.tTw Turbidity Meter /V4 Calibrated Y or N <br /> Casing Factor 2"= 17 3"=33 4"=66 5"=I 02 6"=l 5 S"=2 6 (In Gallons per fin=foot)] <br /> date=Gallons(to_Q!} DTW—=�P --=Ec==—Tema(°C)=Tui'uidjn_�—Coirunents= --- _- <br /> a6 <br /> 3 -0 ..9.05- c:J a2, <br /> 69-7 1 g(i i 1 ► <br /> s <br /> )0, 0 yy r S,9 <br />;rage or Disposal Nfethod Sl' Total Drums Onsite <br /> teat Recharge prior to Samplinge Lit)W <br /> .,ample ColIeciion Method f',,,"L.. <br /> nple Labe'eddz1 43 M W 2 Sample Time /.��r Laboratory <br /> alysis U 7t-t} /T f14 / U J 2 4✓3 of �.�c� a <br /> No of Containers <br /> Micate Trip BIank Rinsate Blank <br /> rime,its <br />