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Purge Log Form <br /> ect Name I1�v�.�,.Qs� f Protect Nurnbe- C) r Site Location r� <br /> G �o A.r <br /> Well No Date � �, Field Tech <br /> Total Depth � 3 Depth to Aater o Water Column Length q, J o) <br /> Casing Diameter Casing Factor Volume Calculation 3 7. <br /> Total Purge Volume �`t Casing volumes Produced Pump Type OA—*Jr— <br /> PH <br /> A—* —PH Meter 1,�y,lts�, Calibratcd(7)or N Cond Meter AA Calibrated:�Y)or N <br /> Temp Meter Turbidity Meter IV.A Calibrated Y or N <br /> [Casing Factor 2"= 17 3"= 38 4"=66 5"=1 02 0=1 5 8"=2 6 (In Gallons per linear foot)] <br /> Time Prod. Rate Gallons(total) DTW �Ph rE; Temp (°C) Turbidity Comments <br /> ��" <br /> is GPS S`] fl 7 1-L h Z 7 U 1 AA t.✓tut*. Cxu� <br /> JN N 9°t AA ao�^ <br /> IT a sr.I Z I r 6 F �l.2 l:'7-;- P <br /> 113-4 �J 15 °rl <br /> Storage or Disposal Method ""�� Total Dnims Onsite__ I D! 9 ru11 AT �^ <br /> Percent Recharge Prior to Sampling J �' Sample Collection Method_ .9' <br /> Sample Labeled kA M w 3 Sample Time sy U Laboratory QAII-� <br /> Analysis No of Containers 3 <br /> Duplicate — Tnp Blank Rinsate Blank ` <br /> Comments <br /> 0 <br /> 0 <br />