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Pure Log Form <br /> • Project N imc ac �1 _ Pro=( Number N <br /> -�—�_• J-" � y Site Loc-ttion <br /> «ell No Ll Date I ;-I r I o1 _�-� <br /> Field Tcclt <br /> 'total Depth ".0 00 Dcpth to water Watcr Column LcnRtlt <br /> Casing Diameter Casing Factor Volume Calculation 2 S <br /> Total Purge%lolumc f 3 ' Casing%olumes Produced �' Pump Txpc <br /> PH Mctcr �%X(- Calmratedo or N Cond Meter k , <br /> Calibrat:d�or 1r <br /> Temp Meter 14v A L, Tumidit) Meter 1A Calibrated Y or N <br /> iCasin[!Fa--tor 2"= 17 3"= IS Y"= 65 5"=1 02 u"=1 5 S"=? 6 (In Gallons per liticar foot)] <br /> Gallonsfto,al) DTW Ph F.c Tcmv('C) T unidZ Comments <br /> Al I , 10 1 3�, I 1 I M�qq: <br /> ! J t 1.1. ! € Y- U III II 6 V, ffI �'SI I 67 .2- I I ar, 1Jat� <br /> u r F3Sry6 �- I I t ? <br /> I I I 1 I I I f <br /> Storage or Disposal Method S-FP4 Total Drums Onsite f <br /> Percent Recharge Prior to Sampling DD h Sample CoIIecttion Method „,�.. <br /> Sample Labeled_ Q M W - Sample Time Z2,YO � Laboratory <br /> Artal}sis T @ 1 oiS t, ft,� f or / pc4 C1j� AAo4A No ofContatners <br /> Duplicate Tnp Blank Rinsate Blank <br /> Comments <br /> _L _ <br />