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• Purae Loa Form <br /> Prgleet Name U-f{ I,JC Project Number r <br /> J � �� Site Location �.�. <br /> 0No Date GIO30o Field Tech -f <br /> Total Depth 1 ` SDepth to water _SG Water Column Len-ath <br /> Casing Diameter '3- Casing Factor ,j Volume Calculation 2 3 <br /> Total Purge Volume Q Casing volumes Produced y <br /> Pump Type�-•�-�'�- �,^-� <br /> PH Meter DA:k-3w CaMbrated(Y)or N Cond Meter���v�J Calibrated &)Or N <br /> Temp hieter1,il Turoidity Meter_f i� Calibrated Y or N <br />[Casing Factor 2"= 17 3"=33 4"=66 5"=1 02 6"=1 5 8"=2 6 (In Gallons per linear foot)] <br /> Time `Prod=Rafe Gallon�(totaI ~DTW _—=- -_ --(OC)— - - - - <br /> ---��--_—=Ec� =Te:n� -Turmditv=-—=Co=vfts `— <br />��.�`l ! 1 �.;o,. l � � 6 r'c, � � s y l ���1 l a.� -� ` l � l w;.�.-• e�.-� -— <br /> f3-?a ! l lG is l ! 7 r ! l 4 <br /> 73 <br /> ! -761. lG7q 107 lx� s` <br /> l I ! l l ! l ! <br /> ! l I l ! f l ! <br /> forage or Disposal Method Ts Total Drums onsite <br />.r=ent Recharge Pnor to Sampling Sample Collection Method <br /> amole Labeled�.SLSample Time y yS Laboratory <br /> rely sis ,0d U )123 No of Containers <br />_-licate Trip Blank Rtnsate Blank <br /> OMIMe:ts <br />