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Purge Lag Form <br /> Pro ect Name Project Number �� Site Location J <br /> I <br /> Pro <br /> Date OX-o5 `�" Field Tech I <br /> i <br /> Total Depth �S Depth to water y g Q L Water Column Length <br /> ! Casing Diameter 7' Casing Factor Volume Calculat2on V <br /> av-33 <br /> tI <br /> Total Purge Volume a J Casing volumes Produces s Pump Type �t _ <br /> PH Meter Calibrated Obr N Cond Meter Caiibrated&or N <br /> f I <br /> Temp Meter Turbidity Meter NA Calibrated Y or N <br /> [Casing Factor 2 17 3q= 38 4"=66 5"=1 02 6"=l 5 8"=2 6 (1n Gallons per hnear foot)] <br /> Time Prod Rate Gallons(total) DTW Ph Pc Tem (°C} Turbidity Comments <br /> 16 <br /> 18 ay 3 -1 73 1 -AA 3x4 Y <br /> 16y 13 T yb 86131 -)4 2- <br /> TV <br /> TV 13 <br /> I <br /> � I <br /> Storage or Disposal Method Sr 3�119 cLn"— Total Drums Onsite <br /> percent Recharge Prior to Sampling U Sample Collecuon Method eb a � yh. , <br /> Sample Labeled 12 Mw 1 h_ Sample Tune 0 Laboratory a6 _ <br /> Analysis No of Containers 3 <br /> Y Duplicate Trip Blank Rinsate Blank <br /> Cmmments <br /> 0 <br />