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PUrge Lo; Form <br /> . ProJcct Name (JLLUAfi,f.„ ., ProJcct Number �T a6T Soc Location - <br /> ��ell No 7-- Date Field Tech _. r <br /> Total Depth o Depth to .%ater W S Water Column L,n-t}i <br /> Casing Diameter Casing Factor Volume Calculation 2r <br /> Total Purge Volume 3', Casing,.olumcs Produced �' Pump Typc <br /> PrI1.lctcr krytA` Calibrated D or N Cond Metery&, Calibrated VorN <br /> Temp Metcr MA” Turoidin Meter__ /M _ Calibrated Y or N <br /> iC2sing Factor o5 5"=1 02 G"=1 5 5"=2 G (In Gallons per lnicu foot)) <br /> T. 3 rod R G- lc-= ,ata,) DT\V Pn E Temp (°C) Turmditt Comments <br /> �3 1 G �. s I G 3s- y y q -)31 AA LT <br /> 0 I ! ! o 61 l3 6 33 I '1 y0 I -43 11 <br /> 3--f I143 ). o i 3 ► �/ 3 3 L,{i� p,,,1•. <br /> 1343 3 {�3 14 b 3o y31 X33 <br /> Stora,c or Disposal Method _ _S-S p Total Drums Onsite <br /> Percent Rechar_e Prior to Sampling Oo Sample Collection Method <br /> Sample Labeled_ W - Apt W - Sample Time 15'0 3' Laboratory <br /> Antal}sis f!G Ux �, OCA r C-D e-�hnI,aJ e]�siva 406 No of Containers r <br /> Duplicate Tnp Blank Rinsate Blank <br /> Comments <br />