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' Purze Loa Form <br /> 4ell <br /> oject Name V)e 6"xj-c ProjectNumber �6 Site Location S No S Date Sa 0 6 FieId Tech 4r <br />' Total Depth a 8 y De th to water ��3 Water Column Len ~ <br /> P Length <br /> Casing Diameter V- Casing Factor Volume Calculation <br /> Total Purge Volume Casing volumes Produced Pump Type <br />' PH Meter pokes Calibrated&or N Cond Meter (0 44-- CalibratedCY)or N <br />' Temp Meter L- Turbidity Meter A Calibrated Y or N <br /> [Casing Factor 2"= 17 3"=33 4"=66 5"=102 6"=1 5 8"=2 6 (in Gallons per linear foot)] <br /> Trine=—=pr'o�ibate�Gallons(totQ DTW_--Ph— - <br /> �3 s- / 17; -- <br /> 13`f 1 5.0 - A4 oaf <br /> ff II J <br /> LI 3 1199 icy, <br /> 7 37 1O6w 10-0-1 go <br /> ttorage or Disposal Method Total Drums Onsite <br /> ercent Recharge Prior to Sampling Sample Collection Method <br /> Iample Labeled 77-k/ - S Sample Time / 00 Laboratory - <br /> Analysis No of Containers <br /> u Ii�ate <br /> p Trip Blank Rinsate Blank <br /> lomments <br /> I <br />