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Purge Log Form <br /> Project Name Proieet Number t�t1H Site Location <br /> Weil No Date 0?/b0'av Field Tech AJ <br /> Total Depth X Y 19 Depth to water Water Column Length �r <br /> Casmg Diameter x- Casing Factor. Volume Calculation <br /> Total Purge Volume Casing volumes Produced S pump Type- mdI±2 , <br /> PH Meter A k�w Calibrated &or N Cond Meter 04A< yy Cahbrated&-�r N <br /> Temp Meter Q firr Turbidity Meter A4 Calibrated Y or N <br /> [Casing Factor 2"= 17 3"=38 4"=66 5"=1 02 6"=1 5 8"=2 6 (In Gallons per linear foot)] <br /> Time==Prod Rate- - -- — __ -- - -=- - - - - - -- <br /> Gattans{iotaI)—DTW�Ph�=wEc- -Teari(-CMTui�iid�t;, Comments=--_- =- <br /> T.K q } 34 �X5-7 1 q.a AA <br /> oo <br /> 3 L63 1 -aL4 t t az 7 f <br /> 13 �s f 9, 1a1i <br /> I f � <br /> f f I <br /> Storage or Disposal Method SS Total Drums Onsite l0 <br /> Percent Recharge Prior to Sampling U l� Sample Collection Methoda aQer � <br /> Sample Labeled w - Sample Time 13rO Laboratory <br /> Analysis $ x ? A—�J P I z '0 C4 d Cho 6V Qac-& e No of Containers <br /> Duplicate Tnp Blank Rinsate Blank <br /> Comments <br /> • <br />