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Purge Lo <br /> � c Form <br /> Project Name /(J/-(,o.,t Project Number q i 4-E Site Location �- <br /> 1 ' <br /> all No -. Date 0-7/1116'1 Field Tech/')J` <br />' Total Depth 30 Depth to water 61 / 6 Water CoIumn Length 3 /y <br />' Casing Diameter Casing Factor---1 Volume Calculation I <br /> Total Purge Volume S' <br /> Casing Y <br /> r g volumes Produced pump Type &�..e_ <br />' PH Meter tfov Calibrated aor N Cond Meter 00�k4lv Cahbrated�or N <br /> Temp Meter c1,QxM Turbidity Meter Calibrated Y or N <br />' [Casing Factor 2"= 17 3"=38 4"= 66 5"=I 02 6"=1 5 8"=2 6n Gallons <br /> (� per Isnear foot)] <br /> Time—===Prgd Rate Gallons(total)=DTW =Ph— Ec ==Tem OC)-=T►irbsdity Comments <br />' �b` 1 a 6s.16 6 633 /6_9 -M tri e,2 <br /> 1 33. a•s b- _bg 7011,4 <br /> ,M,0139 S' s- ' - �.�� 3 19-1 <br /> I <br /> 0'x`!1 �S <br />' Storage or Di S.r' 1 <br /> Disposal M=�� Total Drums Onsite �T <br />' <br /> Percent Recharge Pnor to Sampling J00 % <br /> Sample Collection Method -, ULial <br /> Sample Labeled �y - /M W - 3-- Sample Time /5' Laboratory <br />' AnaIysis /710116 O / x ,O(A f IC;OB pf). 6;fir No of Containers T <br />'Duplicate Trip Blank Ransate Blank <br /> Continents <br /> I <br />