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' Purae Loi Form <br /> Project Name LJi C,", [ Project Number 3—G3 Site Location <br />' Vell No 96 Date U7b-4 f t s <br /> Field Tech P ' <br />' Total Depth /31. -4 o Depth to «ater Vater Column Length C,%- j b <br /> Casing Diameter _fCasing Factor Volume Calculation L/3.r <br />' TotaI Purze Volume Casing volumes Produced 3. 1 Pump 3�T e <br /> PH Meter. d' Calibrate0Y or N Cond Meter cv°x ,. {Calibrated OOTIK <br /> Temp Meter Turbidity Meter M Calibrated Y or N <br />' [Castna Factor 2"= 17 ;"=38 4"=66 5"=I b? 6"=I 5 8"=2 6 (In Gallons per linear foot)] <br /> 1 Time Prod Rate Gallons(total) DTW Ph EC Te r <br /> Terni) ( C} Tumidity ++ Cornmen s <br /> 66 11 tc <br /> c5y� � + `�6 i <br /> rf� _ ff <br /> 7 b i 3 �' Tp �.S' S t /` y , <br /> l 1 f i i <br /> f ! i <br /> I I <br /> 1 <br /> Storage or Disposal Alethod S—T Y'� qq Total Drums Onsite <br /> 1 Percent Recharge Prior to Sampling Sample Collection Method G — <br /> 1 Sample Labeled �W Mt✓ - Sample Time_L2�6© _ Laboratory <br /> A-ialysis I T h F <br /> 4 No of Containers f4 <br />(Duplicate Trip Blank Rinsate Blank <br />(Comments <br /> 1 <br /> 1 <br /> 1 <br />