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Ie Lo Form <br /> Purge S <br /> I Q Project Number LI LI u Site Location <br /> Name <br /> Well No '? Date—0-1-1 2�1 )01 Field Tech Ar <br /> Total Depth �-Y S 0 Depth to water 9 Water Column Length <br /> Casing Diameter <br /> Casing Factor .j Volume Calculation <br /> Total Purge Volume <br /> Casing volumes Produced_ Pump Type <br /> PH Meter <br /> �- Calibrated V�or N Cond Meter +` Calibrated&r N <br /> Calibrated Y or N <br /> Temp Meter! Turbidity Meter <br /> [Casing Factor 2"= 17 3"=38 4"=66 5"=1 02 6"=1 5 8"-2 6 (in Gallons per linear foot)] <br /> Pmd--Rate f'ialloas(total)=DTW�= Phi=-Ec== =Tem (°C3=Turbidity—Comments= - ----__ <br /> Q S1 1 ,►. <br /> AA r <br /> tf <br /> Pero . E.�•- <br /> )low <br /> ]ter lyb 6� � 9� S�►� �o p <br /> TI-z 1 70 <br /> y <br /> Storage orDisposal Method_ -57- _ Total Drums Onsite f <br />' Perccnt Recharge Prior to Sampling / d Sample Collection Method <br /> Sample Labeled_ i r /K W " 3 — Sample Time /_,?O 0 lLabomtory <br /> AnalysisC Q <br />' B � � Acca 1$,�.6aa)No of Containers <br /> CF°;s,„ <br />' Duplicate Trip Blank Rinsate Blank <br />' Comments <br /> 5.ag <br /> 1 <br />