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Purge :-og Form <br /> Ct Name . .np,– t�O2 tC Project Number 5 Q Site Location <br /> Well No (V-LD Date 9(g <br /> Field Tech <br /> i <br /> i Total Depth Z.-Z-� _ Depth to water Water Column Length •�0 3 <br /> 4 <br /> Casing Diameter Casing Factor L LO Volume Calculation <br /> Total Purge Volumed Casing volumes Produced 3,t6 pip Type - eS <br /> PH Meter Co C– Calibrated Y&or N Conc Meter Aa — Calibrated4�)r N <br /> Tamp Meter K8QC_ Turbidity Meter A)JA Calibrated Y or N <br /> [Casing Factor 2"- 17 3"= 38 4"=66 5"=1 02 6"=l 5 8"=2 6 (In Gallons per linear foot)] <br /> Time Prod.Rate Gallons(total) DTW Ph Ec Tem (°C) Turbidity Continents <br /> IND <br /> Lzo 3S�t5 <br /> 4 fz.3� Lo 9T- 15-ro --�O8� HVt <br /> 4 <br /> Storage or Disposal Method_ Total Drums Onsite G�1 <br /> Percent Recharge Prior to Sampling 0 0 Sample Collection Method S o�1of� t <br /> Sample Labeled M�(� Sample Time %6 Laboratory. <br /> n <br /> Analysis <br /> No of Containers <br /> Duplicate Trip Blank Rinsate Blank <br /> Comments <br /> • <br />