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Purge Loa Form <br /> PAN Name U f-P Q p Project Number 2J?S Site Location <br /> Weil No S Date d 6 h;-9 It,i s Field Tech AP <br /> lotal Depth Depth to water 6 7�y Water Column Length Z I <br /> jasing Diameter Casing Factor j/7 Volume Calculation a? M <br />�oW Purge Volume--L() 0 Casing volumes Produced Pump Type C222L4� <br />'H Meter Calibrated (2)or N Cond Meter OA�ra,,,, Calibrated f'br N <br /> emp Meter OA k7l-%, Turbidity Meter A Calibrated Y or N <br /> using Factor 2"= 17 3"=33 4"= 66 5"=1 02 6"=1 5 8"=2 6 (In Gallons per linear foot)] <br /> -- <br /> ( _- <br />' -� ! .. I iii T a I X43 '1 E ao I A I gab. eg <br />�9-o 3 I - 7 5'N �a1 1 -1 o .� <br /> 33 'I�.I I 1 3 ,�4v <br /> Yt! I I ! <br />)rage or Disposal Method ST Total Drums Onsite J <br /> ce,it Recharge Prior to Sampling Sample Collection hfethod <br /> nple Labeled in ' S' Sample Time J.3S-2— Laboratory <br /> aIysis Az+ ;IYi' l 1- ,b�,, �ba 7 d^� No of Containers 3 <br /> plicate Trip Blank Rinsate Blank <br /> nine�its � <br />