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Purge Lag Form <br /> • Project hamc gQ Protect Number �1L/y Site Location 7X&v,, +.. <br /> Well No Date CC) 01/01 _ Field Tech I <br /> Total Depth a-y (, 0 Depth to Mater S6 Water Column Lcn,It <br /> Casing Diameter Z- Casing Factor Volume Calculation I <br /> Total Purge Volume 13 2 Casing-�olumes Produced V.9 _ Pump")PC C2.� n, r e <br /> PIS Meter flyb L Calibrated 0 or N Cond Meter AA er <br /> Calibrated Oor 1` <br /> T.rnp Meter �4 IL Turbidity Meter. ILA Calibrated Y or N <br /> fCasing Factor 2 17 3"= ;S o6 5"=1 02 6"=1 5 8"=2 6 (In Gallons per linear foot)] <br /> T, nc Prod Rai:. Gallonsitotal) DT%V Ph Fe Tem (°C) Turbidit- Comments <br /> 10-41 l i a +,� I ¢ I S s6 I 165- 1 13 I VOL <br /> g I ~ oC> I �� I �a y I I Ufr, flor't: <br /> 1 -7- 01 00 I a-3 I I ate <br /> I ! I I ( I <br /> 1 ! I I I I I <br /> Storage or Disposal Method srPJ Total Drums Onsite <br /> Percent Recharge Prior to Sampling /06% Sample Collection Method �a+ <br /> Sample Labeled_ w, Sample Time if 3 Laboratory_ <br /> Analysis C6w 9-4h u1 Me 1 X604 No of Containers <br /> Duplicate Trip BIank Rinsate Blaine <br /> Comments <br />