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Purge Loa Form <br />'ralect Name f t>i •� ProjcWt rlumbe. XL 3 51te Location <br /> 071 No Date t S.`°l Field Tech <br /> Cotal Depth Depth to water D Water Column Length II-_)J_ <br />:acing Diameter �- Casing Factor- / ` Volume Calculation � 1 <br /> notal Purge Volume Casing volumes Produced 3 3 pump Typeo"'`"Z''� <br />,H Meter Ua kiw Calio,ated Y or N Cond Meter.� "`' Caliorated ?�_ksr N <br />"emp Meter (1144., Turbidity Meter. - AA - - Calibrated Y or N <br /> Casing Factor- 2"= 17 3"=38 4"=66 5"=102 b"=15 8"=2 6 (In Gallons per linear foot)] <br /> tme= �z c� Fcate=t"ra?lcrr<,tat I)=DTW- Ph F..- _Te.MD (TC) <br /> h a I - a te I s:4 I -- I � 3 <br /> 1 I I i 0 I -7 3-6 1631 I ;�.s I ! <br /> PW I I I I I I I I <br /> i I I I I I I I <br /> a_or Disposal Method Tf F Total Drums Onsite n <br /> ._-ii R.AteharYse Pr-,or to 5amiin� 37Sample Cgile.zion hi.p.�od !J L <br /> �le L3beled. TW M w - I6 Sample Time: /ll Q Laboratory OAOI' <br /> l�s,s_ f�'�e, 1 r,� e. ct , /, L Cr� ► "�) _ No of CoriLdne <br /> lite � --- - - - Trip Blank - - Rrnsute BEa,nk• <br /> �se zts <br /> 6-- <br /> s <br /> i <br />