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• Purge Lo Form <br /> � <br /> roject Name: U� Project Number:_ q s' o i — Site Location: <br /> Well No: Date: I I `19 6 Field Tech: .f' <br /> Total Depth: 6 3 Depth to water: D.3 2- 'Water Column Length: <br /> Casing Diameter: .L Casing Factor: Volume Calculation: 3.4 <br /> Total purge Volume: Casing volumes Produced- C;•b Pump Type: GAJA- <br /> PH Meter: Ny AA Calibrated:(?or N Cond.Meter:_ /gYtL" Calibrated.(3�or N <br /> Temp Meter: ffi Clc Turbidity Meter. A,-4 Calibrated: Y or N <br /> [Casing Factor: 2"=.17 3"=.38 4"=.66 5"=1.02 6"=1.5 8"=2.6 (In Gallons per linear foot)] <br /> Time Prod. Rate Gallons(total) DTW Ph Ec Tem (°C) Turbidity Comments <br /> AA <br /> 3 <br /> Storage or Disposal Method: SS Total Drums Onsite: r <br /> Percent Recharge Prior to Sampling: Sample Collection Method: <br /> Sample Labeled: V V W MW ' [ Sample Time: V9 4 o Laboratory: D:n ' <br /> Analysis: 131 ea "1 No. of Containers: 3 <br /> Duplicate: _ Trip Blank: Rinsate Blank: - <br /> Comments: <br /> � I <br />