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Pure Log Form <br /> Proacct Namc K zw o e s Projcct Number / b Site Locauon S' �•t;a.. <br /> Wcll No_ _ Date IX 06/0 Field Tech 12 r <br /> I <br /> Total Depth 5-q a Dcpth to% .iter_ q_0 Fater Column Len,ili / 3, .15- <br /> Casino Diameter �— Casing Factor • 1�_ Volume Calculation 3 <br /> Total Purge Volume .d Casing%olumcsProducr_d 3 4 Pump Pc T% <br /> PH Mc-fcr qjEx,G Calmrated 9or N Cond Meter�s� Calibrated COT N <br /> Temp Mcter A 61�a- T=idity Metcr M Calibrated Y or N <br /> ICasing Factor 2"= 17 3"= IS 4"= 65 5"=I 02 6"=1 5 6"=2 6 (In Gallons per linear foot)] <br /> cmc Pr,,d R-,c Gallonsito al} DTW Ph E Tema!°Cl Turoidit` Cornmcnts <br /> 7$a r I <br /> /- 0 I YO 7)r I G y I/cv o 17 Q o I tic ! Gm (101, <br /> 3 r 1 3► 1 q�s 1 0-) 1 <br /> 537 S I yr I a <br /> a-`f I 3`� 4 <br /> th aA I6 a� 9�6 Sao I <br /> I I I I I <br /> ! I I I 1 1 I I <br /> Storage or Disposal Method r_' Total Drums Onsite ;Z-U <br /> Percent Recharge Prior to Sampling--LO(170 Sample CoIIection Method�as► 0&-L <br /> Sample Labeled_A_A All w - )'-{ Sample Time 14 a,0 Laboratory <br /> Anali sis 642AJUJA/ 0?S / y z)CA f r- a6 No of Containers `7 <br /> Duplicate Tnp Blank Rinsate Blank <br /> Comments <br /> I <br /> I <br /> � I <br /> 4 I <br /> 1 � <br />