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Purge Log Form <br /> Project Name !° Project Number �' 0€'9 Site Location <br /> Well ;o �— Date �$ Field Tech <br /> notal Depth o� Depth to water V 4 Water Column Length J d 1 <br /> Casing Diameter Casing Factor - )� Volume Calculation <br /> notal Purge Volume - Casing volumes Produced _ Pump Type <br /> Meter C��N_` Calibrated(YjOI N Cond. Meter' <br /> y; Calibrated CY)or N <br /> Ternp 'Meter� Turbidity:Meter NA _ Calibrated Y or N <br /> rasing Factor 2"= 17 3"=38 4"=66 5"=l 02 6"=l 5 8"=2 6 (In Gallons per linear foot)] <br /> Time <br /> Prod, Rate Gallons(total) 1?TW Ph Fr Tem (°C) Turbidity Cormnents <br /> 6 bS 1 o �a N G�- 6 , <br /> fo- 61 W3 <br /> 13 <br /> 1Oac) <br /> S gage or Disposal Method —+ Tata!Dnims Onsite <br /> P „ent Recharge Prior to Sampling Sample Collection Method <br /> S4-anple Labeled 3^/ ' Sample Time Laboratory <br /> a^� <br /> fah 5i5 /J,/ No of Containers <br /> DVlicate Trip Blank r Rinsate Blank <br /> Co�rrsents <br />