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v n <br /> Pure-e Loo Form <br /> Pip Name yqb oy Project Number Site Location ,V, v?'eeA <br /> Well NoDate �/�9 c Field Tech A I <br /> _© � � <br /> Total Depth o) -33 Depth to water_ (�_4� Water Column L.env+.h C.Z 6 <br /> Zasing Diameter 7— Casing Factor .1�_ Volume Calculation a Z <br /> i otaI Purge Volume Coring volumes Produced 14 Pump Type <br />'H Meter G`1tCalibrated or N Cond Meter C)4k1vr- Calibrated Y or N <br /> 7 emp l4ietery° lov Turbidity Meter Calibrated Y or N <br /> Casing Factor 2"= 17 Y=38 4"=66 5"=1 02 6"=I 5 8"=2 6 (In Gallons per linear foot)] <br /> ime==�rr;�1Rafe=Gallons(total)=DTW—RPh--=-Ec-=Tem -(°C) 'urbedlt_v—Comments- — _ <br /> a 1 -L ! i1.v cry <br /> y 9 = 2 ay 'w <br /> I I J j <br />)rage or Disposal Method Total Drums Onsite <br />,cent Recharge Pnor to Sampling_ lam_ Sample Collection Method lr.• Q <br /> mple Labeled Sample Time /S—"?Q Laboratory a,%, <br /> alysis 9*� fy-��,rc-1 Ute, /1 y)t I �r�.a b q� g,n No of Containers <br /> plicate Trip Blank Rinsate Blank <br /> mme�is <br />