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Pur�e Lo-Form _ <br /> �A. <br /> �/ -- - q_� b 13 - Site Location <br /> Project Name � �fl�`"'r"�` 4o-t- Project Number_ - _ <br /> loll No Date '/3 g Field Tech Q - <br /> local Depth�S•9 SLL Depth to water <br /> � Water Column Length a y <br /> easing Diameter Casing Factor Volume Calculation <br /> IL <br /> Total Purge Volume <br /> 6. 0 Casing volumes Produced 6- 1 Pump Type G *�' <br /> fH Meter � w- Calibrated �or N Cond Meter Calibrated&or N <br /> Temp Meter Turbidity Meter Calibrated Y or N <br /> [Casing Factor 2"= 17 3"=38 4"=66 5"=1 02 6"=1 5 8'=Z 6 (In Gallons per linear foot)] <br /> Time Prod Rate Ga]Ioas(tatsl) DTti� Ph Ec Tem (°C) Turbidln Comments <br /> Comen <br /> A4 '04n <br /> 11 <br /> I€;,5rage or Disposal Method <br /> $` Total Dturns Onsite <br /> P=cent Recharge Prior to Sampling^ I6J _ Sample Collection Method O <br /> '4 Samr <br /> S.�tnple Labeled ��� MW Sample Tune I Laboratory <br /> No of Containers <br /> A=1-%sis _ <br /> Duplicate <br /> y Tnp Blank Rsnsate Blank <br /> Cw=cnts <br /> • <br />