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Pune Loi Form <br /> ProjectN-iinc l!v-60 ,L Projcct Number a-63 SiteLociuon <br /> Wcll No Date (a_;'!/ b/e, Field Tech A <br /> Total Depi]t S e> Dcptli to %%ater .J °i Water Column Length / } <br /> Casco;Diameter I)— <br /> Casing Factor J I Volume Calculation 2 <br /> Total Purge Volume f 3' Casing�olumcs Produced �� Pump T-,pe <br /> PH %Ictcr NV�^L Calibrated& or N Cond Meter�i� e Calibrated or N <br /> T4mp Mcter�r�V Turbidin Mctcr Calibrated Y or N <br /> ICas, g Fa_vv ,"= i- ;'_ ,S ; _ {» 5"=1 02 i,"=1 5 S"=2 6 (In Gallons per linear foot)] <br /> T Prod R,, = Gallors`io�--) DT\V Pn F.c Temp (OC) Tumsdit-� Comments <br /> LT .• n.J� <br /> G 9 3 1 <br /> I <br /> WE 5'.k to e� Jr �_sq 8F0 <br /> 49 o gs�t 13 6 S.a I (� bo v?3 b9 3 ! ' <br /> Storage or Disposal M.-Lnod Total Drums Onsite / P <br /> t� <br /> Percent Recnaree Prior to Sampling 1 Sample Collection Method �.. <br /> Sample Labeled —TW WSample Time o93< Laboratory -- .. — _ <br /> Analysis 43ef� )G t U 1 pcA /VV-JjtA,,,i f_4A,,,,,,, ed3a No of Containers S <br /> Duplicate Trip Blank Rinsate BIank <br /> Comments <br /> ,,'Y <br />