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Purge Log Form <br /> ct Name """` ' Project Number 01 f 0$q Site Location <br /> Well No Date U Field Tech A r <br /> Total Depth �S 9 r Depth to water y T- Water Column Length a 3 <br /> Casing Diameter �' Casing Factor ] Volume Calculation - <br /> Total Purge Volume -4 Casing volumes Produced S J Pump Type <br /> pV <br /> PH Meter %�— Calibrated.�r N Cond Meter HY d A Calibratedor N <br /> Temp Meter _ Turbidity Meter, PA Calibrated Y or N <br /> [Casing Factor 2"= 17 3"=38 4"=66 5"=I 02 6"=1 5 8"=2 6 (In Gallons per linear foot)) <br /> I <br /> I <br /> Time Prod. Rate Gallons(total) DTW Ph Ec Tem (°C) Turbidit} Comments <br /> I <br /> 1 y S I ) '7 , 1 5-9_s6 � o0 1-3--61; "7�l. rr' AA I w P�A— tka, <br /> o% /0 Z 55. ] .9� 1a� �J � r�.�t> C. .L.- <br /> 5, <br /> L.- <br /> s <br /> uses <br /> I <br /> i <br /> Storage or Disposal Method SS' 2�-O 6AM� Total Drums Onsite <br /> Percent Recharge Prior to Sampling /0 0 010 Sample Collection Method Btt�r� <br /> Sample Labeled KA nf+w Sample Time i Yr Laboratory Q(,e_lm <br /> Analysis T z k /re'N{r No of Containers 3 <br /> Duplicate Trip Blank Rinsate Blank <br /> Comments <br /> i <br /> f • <br />