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Purge Log Form <br /> rolect Name_ A�'�'�^�-w`-�� Protect Number Site Location <br /> I111 <br /> Well No_ Date c 4 a !c L Field Tech s <br /> Total Depth a'[ `� Depth to mater Water Column Length 6 a 1 <br /> �- .1 Volume Calculation a. F- <br /> Casing Diameter Casing Factor <br /> Total Purge Volume 1 Casing volumes Produced Pump Type_ <br /> PH Meter k j,, Calibratedq or N gCond Meter x4v I,,'-_ Calibrated ())or N <br /> Temp Meter PA L Turbidity Meter. 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 Iinear foot)] <br /> Time- =Prod.-Rate Gallous(total)=-DTW. -Ec==—_Tem -f°C}=Turbidity=.Comments <br /> v bv.. 9)0 69.E AA w ega(, <br /> oat s - � 91 S-ro b; A AJ � . <br /> 01A 6 qG3 <br /> o3:9 �y,v i 6 ?9 <br /> 730 OP <br /> Storage or Disposal Method s-S Total Dnims Onsite <br /> Percent Recharge Prior to Sampling /(30 Sample Collection Method 46 cry <br /> Sample Labeled Q c- w 3 Sample Time Laboratory <br /> Analysis 6$qA / D;! , 1, Z ,O6A -bQ br1 9a64? No of Containers � <br /> Duplicate Tnp Blank Rinsate Blank <br /> Continents <br />