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Purge Loi Form <br /> Protect Dame -TU h 6, y- Project Number �$.s <br /> J SFie Location sr-- <br />' Well No Date C)3//�/CS Field Tech J` <br /> Total Depth Depth to water Water Column Length /s ) <br /> Casing Diameter Casing Factor. f� Volume Calculation � G <br /> ITotal Purge Volume 0 U Casing volumes Produced 3- Pump Typet1�..L. _ <br />' PH Meter C>°+-/`" Calibrated&'or N Cond Meter 'f/�"� <br /> Calibrated(Yor N <br /> Temp Meter C)Ak�ew Turbidity Meter ✓4 Calibrated Y or N <br />' [Casing Factor 2"= I7 3"=33 4 66 5"=1 02 6"=1 5 8"=2 6 (In Gallons per linear foot)] <br /> ITime Prod Rate Gallons(total) DTW Ph EC Temp ('C) Turbidiry Comments <br /> AY9 17. y I LL 0 1 1 <br /> 0 <br /> 1 I f <br /> I 1 1630 1 I I 1 <br /> 1 <br /> f <br /> Storage or Disposal Method rr Total Drums Onsite <br /> Percent Recharge Prior to Sampling �� ' Sample Collection Method 64:p .,--- <br /> Sample Labeled Sample Time S'�` Laboratory l O^gv r1 <br /> Analysis ' ) Z •&" I ICA4 No of Containers 7 <br />' Duplicate Trip Blank Rinsate Blank <br />' Comments <br /> I � <br />