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Purize Log Form <br /> Name_�U) 0,63 Site Location ,S c,,, <br /> Well No 3 Date 0 6113A= _ Field Telt A J' <br /> Total Depth Depth tc water- 5(0 -}} Water Celuriz Lcng4h 1'} q3 <br /> Cas.ng Diametc-. ti Casme Facto •�" Volume CalcAataon <br /> Total Vclu:nc Casing vcii.rrtsF-.oduccd P--no Tyrc <br /> PH Mc-cr M Calihrated6cr N Cc,-,d Nfcle-th " -- Catinrated (?Cr N <br /> Tc•np Meter l Tum id,ry McIc- AA Cahoratcd Y or N <br /> [Ca xg Factor 2"= 17 3"=38 4"= 66 5'=1 62 6'=3 5 S"=? 6 (?n Gallons Pe-iirc'r feat)] <br /> T,Tt -P"d Rate Gallcrs(total) D i W Ph tc Te--~a f°Cl Tu--cuLrr Co z;c±ts <br /> 1/ a 11 -1 .I d I s`G 9 12Jr.I I AA I fe-i" 6,'a edA-. <br /> ( ,a I s I I3 } tf I CS.",. I <br /> V3 <br /> ! I ! ! I r I <br /> S-cage er Disasal M=-hod SS sO Total Drums Orsstc <br /> Pc-c,-it Rc:h.:.-_c Prcz.to Sampling-__ /�� _ _ Sa ,plc Collczucri %fc hcd � ^ <br /> Sample Labeled T w MW Sarnplc Time l a-da Labor ,ier. <br /> A_alys,s No of Ccntaine-s . <br /> Duplicate Trp Fla-iK Rsnsarc Flank 1% <br /> Ccmmc-tts <br />