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Purge Log Form <br /> � y,,,,�,�Q,�, 1� - D?9 Site Location <br /> *pject Name Protect Number <br /> *No g' mate O a-o 69 Field Tech <br /> -Total Depth <br /> ( Depth to water Y 9 a S Water Column Length ? <br /> Cning Diameter � Casing Factor <br /> J r Volume Calculation <br /> 126tal Purge Volume " Casing volumes Produced b Pump Type <br /> wMeter �/06- Cahbra=L�r N Cond Meter Hyjfi4' Calibrated fir N <br /> hemp Meter LLyr�` — Turb Meter--AIA Calibrated Y or N <br /> using Factor 2"= 17 3"=38 4"=66 5"=102 6"=1 5 8"=2 6 (In Gallons per linear foot)] <br /> 'line Prod Rate Gallons(total) 1?TW <br /> Ph Bc Tem CC) Turbidity Comments <br /> lays <br /> / 0 <br /> 14,,4 <br /> :1 a Li r sq �- U <br /> Loss 113 <br /> Mirage or Disposal Method <br /> 5'r" Total Drums Onsite <br /> Vent Recharge Prior to Sampling 4 <br /> 0 � Sample Collection Method <br /> °5` <br /> Smple Labeled X,f M w - Sample Ttme Laboratory - <br /> } <br /> clysis No of Containers 3 <br /> 04icate J Trip Blank Rinsate Blank <br /> 00=ents <br /> 0 <br /> t <br /> k <br />