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Purge Loi Form <br /> ' Project Name KA.A3WJtr 1{J ` Project Number I S b Site Location SAwtlu.... <br /> • Wcll No S Date OT130 a' Field Tech P f <br /> ' Total Depth 6o q Depth to water_ �� �'� _ Water Column Length a-) 37 <br /> Casing Diameter Casing Factor 6 Volume Calculation r �,1 <br /> Total Purge Volume Casing%olumeTN <br /> s Produced 3-1 Pump TC_ 6A-, ' _ <br /> PH Mc1cr Calibrated&or N Cond Meter � Calibrated Dor N <br /> I , <br /> Temp Meter -- L Tumidin Meter AA Calibrated Y or N <br /> ' ICasrrg Factor ?"= 17 3"= )S ;"= no 5"=1 02 6"=1 5 S"=? G (In Gallons per linear foot)] <br /> i <br /> ' T,m,- Prod Ratc Gallonsito=a.) DT\Y Ph cc Temo(-C) Turoidm Comments <br /> 39 s i 1 6 314 1 �'�s Gca CiAl. <br /> o I G y Tv. 3 1 713 n.o J'A.1- <br /> 0 �� 19-,y i. I �I S I I L,Fr , P+•r rvWlr <br /> 0evL) 4a <br /> Storage or Disposal N4ethod SS yj Total Drums Onsite <br /> ' Percent Recharge Prior to Sampling / O U jj Sample Collection Method d.0.6�4a QAC ^ <br /> Sample Labeled_ 1C Mice, s Sample Time 0 3 6 Laboratory <br /> ' 4nalN,sts 01.11 7-.14L 1 OkV /, 1 10CA 4 Fp�1 fit 9;.bo No of Containers '/ <br /> Duplicate Trip Blank Rinsate Blank <br /> 1 <br /> Comments <br /> 1 <br /> { s <br />