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PurEe Loa Form <br /> o}ectName 17V 1.,q 61.f�3R Fr0icrtNumber fib' SiteLccauan St �4kt,,,, <br /> 0 No Date 10014 jcs�I Field Tech 4 � <br /> tat Depth 15 1 Depth to Rater, Water Column I-.nvth 6 ?2- <br /> ung Diameter C,zcingFactor. . 1� ` Volum- Calculation 1' f <br /> tal,Purge Volume. `� v CassinQ volumes Produced. F Pump Type �w_o;' <br /> Meter' �'`" '''� Calromated6)orN Cond Calibrated WorN <br />,np bietei-� Turbidity Meter /tiA CaYbrated Y or N <br /> Bina Factor. 2"=.I7 3"=33 4"=.6b 5"=1 Os 6"=l 5 8"=2 6 (!n Crallons per Lne3rfoot)J <br /> ne -r3a= fe Crc- �total)=D �pa —��- 'e_nD{'C}�S> �ir.�ry== <br /> 3 rr � ..� { 4� - # 9a Iwo ►�.� I f n � .. <br />/ oil # I I I I I I # <br />� r <br /> le <br /> or Dispcsal Method £0 Total Drains Onsite <br /> 'it F�liarge Prior to Sampling- 1D�? 'a__ Sample CgIIe_uon Method <br /> Vabeled—T l"t v%vl SampleTime, ��°y' Laboratory <br /> s 13 jV4 js�.��r� 3 Uxy 1 y cA 4 Coa �Y N No ofContasners <br /> to Tnp BIan,^ Pe=te BIank <br /> its <br />