Laserfiche WebLink
Purge Loa Form <br /> Proiert Name <br /> Project Number S 6 Site Location <br /> 0Ve?I No <br /> Date Field Tech Of- <br /> Total Depth 3 Q—2-0 Depth to Rater 9.6 s q <br /> Water Column Length <br /> i <br /> Ca<rng Diameter Casing Factor. •• 0 <br /> Vol6 <br /> ume Calculation- <br /> Total Purge Volume S' <br /> C. UC: �- <br /> Pump Type Q ate^- <br /> P;3 M..e.+�=r 0-4h4— <br /> Cabo.ated Y or N � <br /> Cond Meee <br /> r )—k Cahurated Y or N <br /> Temp Meter• J�� Titer ,Meter <br /> Calibrated Y or N <br /> [Casing Factor. 2"= 17 3"=33 4"=66 P=102 6"=1 5 8"=2 6 (In Gallons per linear foot)] <br /> T/createaz ) — h = —Te—n-n f°C)=Di ` E <br /> )S= [ ` <br /> f 70119F? I19.E � � I <br /> I <br /> f3 --)9 19 t�- f <br /> 0'9a - . s ' <br /> Igo lao � f f <br /> f f f l <br /> Com-Se.or Disposal Method arra <br /> Total Drums Onsite <br /> :e'It RechargeP <br /> Pnar to yarn Irn_ I ,, <br /> Sample CpIIection Method <br /> imple Labeled w 3 <br /> Sample Time JOA ' Laboratory <br />.=hscs J �; <br /> No of Contain,--, <br />�pFicate � VI - <br /> Trip Blank Rinsate BIank <br /> r;urte-]tS <br /> i <br />