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i <br /> Purge Log Form <br /> � � hO-Q1 a <br /> Omt <br /> Name Protect Number �°I Site Location S'J�rc.�ftio►.� <br /> Well Na a- Date U 1'd 9 g G Field Tech N r <br /> Total Depth S {, 9T- Depth to water S�-a`6 <br /> p Water Column Length <br /> Casing Diameter '� Casing Factor f Volume Calculation <br /> Total Purge Volume_II — Casing volumes Produced '�• Pump Type 12cL,. . <br /> PH Meter. �y X A, Calibrated C-�')4r N Cond Meter �y 4 Calibrated Y or N <br /> f Temp Meter Turbidity Meter JV/1 Calibrated Y or N <br /> [Casing Factor 2"= 17 3"=38 4"=66 5"=1 02 6"=1 5 8"=2 6 (In Gallons per linear foot)] <br /> i <br /> Time Prod Rate Gallons(total) DTW Ph ) c Tem °C) Turbidity Comments <br /> t oS7 ;0) J�- -`4 ��, r PA Go-• <br /> Q'�ry s' � �S — b �l lads 69 •] .r�Q,,,, i <br /> 0 9na <br /> � I <br /> i <br /> f Storage or Disposal Method S:S clnu y. Total Drums Onsite / 9 r,I ! A,y <br /> I <br /> Percent Recharge Prior to Sampling / aU Sample Collection Method <br /> Sample Labeled IZ ,yi�, . �- _ Sample Time _ LaboratoryAA, <br /> i <br /> Analysis 13 7q k rO 11 No of Containers 3 <br /> Duplicate Trip Blank Rinsate Blank <br /> Comments <br /> I <br /> I <br />