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i <br /> I � <br /> e <br /> (( 1'larg� Log Form <br /> Projcct NZme / �'"�ieS—f-63-0j< ProJcct Numbcr / i I <br /> S11C Locauon .��t.t/C�.c`r• <br /> Nti cll No 3 Datc &) <br /> Field Tech e I <br /> Total Depth_ s$ {G Dcpth to utter y C .9 q <br /> Water Column L,c n!,tlt �3•�) <br /> Casing Diameter �- Casing Factor ^ Volume Calculation <br /> a• � <br /> Total Purge Volumc Casing,,olumes Produced 3 .] <br /> Pump T)'pc <br /> PH ML-1crL CalioratcdO or N Cond Meter ,r,��- <br /> --�.�_ CalibrateO or N <br /> Temp Mctcr Tw`5idrt) Mcicr M Calibraled Y or N <br /> !Casing Fa:tor ?"= 17 ;°_ ;S ;"= o6 5"=1 02 6"=1 5 S"=? 6 (in Gallons per linear foot)) <br /> Pr.,3 R c Gallonvto,.�-!) DTW Ph Fc <br /> TernD('C) Tw-ointtti comments <br /> �Sra- / o I, o l y d a 1 6 9 y 1 a 6� AA <br /> ago � 3 ° 16 g3 f 89`I 6g 3 <br /> r 6 -73 <br /> 0 9 a-4 <br /> ----------------- <br /> 1 I I <br /> SIMS.-or Disposal Method SS <br /> Total Drums Onsite <br /> Pcrcent Re_harg--Prior to Sampling /0 D <br /> Sample Collection Method <br /> Sample Labeled_ /,A ,ilw '- Sample Time 0 6 <br /> , Laborator) <br /> Anal}sisr 1 U� A 2 '0 i.�n f Cpl � Qaa 6-� <br /> No of Containers <br /> Duphcat-, Tnp Blank <br /> Rtnsate Blank <br /> Comments <br /> I <br /> i <br />