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Pur <br /> � ge Log Form <br /> Name &�r4 Protect Num:)er s` 05'9 Site Location S-Z61� <br /> Well No Date V a-019 Field Tech A <br /> i <br /> Total Depth s I b Depth to water_S �/ (,t;, Water Column Length 3 <br /> Casing Diameter Casing Factor Volume Calculation S <br /> I � <br /> Total Purge Volume "r Casing volumes ProdLced- f Pump Type a0.,-f-, <br /> PH Meter dqU Calibrated(5r N Cond Meter L CahbratedC)or N <br /> Temp Meter- L Turbidity Meter Calibrated Y or N <br /> I <br /> (Casing Factor 2"= 17 Y=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 Ec Tem (°C) Turbidity Comments <br /> 0743+� - �&.� S IH14 £.1. IvA A'> <br /> ' Storage or Disposal Method �r (,J Total Drums Onsite /0 h P)) / M- <br /> Percent Recharge Prior to Sampling L9 9 ja Sample Collection Method <br /> Sample, Labeled k A IVI Fv 3 Sample Time f QLJ C) Laboratory m i <br /> Analysis �'% r T N <br /> No of Containers 3 <br /> Duplicate _ Tnp BIank Rinsate Blank <br /> Comments <br /> F I <br />