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Purge Loa Form <br /> Project Name TO19 ��� Project Number 3 r Site Location 4'I4'v3-*L4 <br /> AL-1-- Date 0 61,E t 1 os Field Tech 4 P <br /> Total Depth ) 9 -1%3 Depth to water a LI Water Column Length 1.-4 s- <br /> � Q t 11- <br /> Ca zn,Dtame.erCasing Factor )'I Volume Calculation- a-, <br /> Total Purge Volume 1 Casinz volumes Produced y <br /> Pip Type _ Ga � et.—f' <br /> P Mete: Calibrated Or N Cond Meter Cklj-Ai Calibrate-40Y N <br /> Temp Turbidity Meter ,AA Caliorated Y or N <br />[Casing Factor 2"= 17 3 33 4"=66 5"=1 02 6"=15 8"=2 6 (In Gallons per brica.r foot)] <br /> Tame===Frod=Rate=GaIlons(total) I=DTW�==Ph_===Ee--==Term(°C? <br /> P3Sss 1 / u', ' 0 1-7 q* I-) 13 a 1 M � GIti�„ ��.• <br /> r s ! 1 -3 1 1-7 yf 1 I W C i 1 , u .� <br /> Y a ► 1 6 a 1 -- S3 1 n y <br />��? s� IU6 <br /> 1 1 1 1 1 I l <br /> 1 1 i 1 I f <br /> 1 I 1 1 ! 1 1 1 <br /> torage or Disposal Method S -,F+2 Total Drums Onsite <br />.-c_:st Recharge Phar to Sampling LbL _ Sample Collection Method <br /> tmple Labeled Sample Time S}a Laboratory �` <br /> No of Contmners <br />_Fltcatc Trip Blank Rlnsate Blank <br /> mrnc-:u <br />