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Purae Loa Form <br /> Project Name Tv i c. Prcjcrt Number �"�s Lite Lttiation T . <br /> PII No 3 t- Date_j - S Field Te`a 10-r' <br /> Total Depth- 3-:)-`l Depth to water 3 Water Colu=L--ngtn 15'q )-3 <br /> A-ciug Diameter ' _ z <br /> Ca_in�Factor ��� Volume t..alcuI^tlan- <br /> FOL-d Purge Volume ' Casing volumes Produced ]— pump Tree <br />�s Meter Cn� CahbatedA&or N Coad Meter ;"� Calibrated War N <br /> i emp?Vfeter- Turbidity Meter_ /A Calibrated Y or N <br /> Casing Factor: 2"= 17 3"=.38 4"=66 5"=I 42 6"=l 5 8"=2 6 an Gallons per linear foot}I <br /> ime= Yra^} i� Gallcn?�iat=?)=DT`Ca` rhE.. Te:nD (°C} iir��at _ C0�nme <br />),q aI 34- 1-18 9 i 9 ` -w :yet <br /> 0-4 <br /> ge or Disposal Method, r�� _ Total Dnuns onsite <br /> zt Re_�ialoeS ! � SampleI e,., <br /> r:�r U ,.ainrlo n� _ __ I � <br /> - C� I ���n h1...hi� _ - <br /> Ile Labeled Cample Tune_ Laboratory C <br /> hsis /���� ��pbs. t C>,V-f /L .QC4 co,# No ofContazne:-s <br /> LIC Tnp Blank - R.insate Blank- <br /> Lents <br />