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Purge Log Form <br /> Protect Name, Project Number5 ads Site "tion. 67 DC.k <br /> Well No. >�W 12 Dale. CO: Field Tech:— <br /> Total Depth 9S Depth to water- 52 cl 3 Water Column Length:_ /L 0 7- <br /> Casing <br /> Casing Diameter• Z Casing Factor t Volume Calculation, Ito o Z x I� �Z <br /> Total Purge Volume 34 Casing volumes Produced, pump Type. SubNtS;b� t <br /> PH Meter_ �4 � . <br /> C - "�,,...� Calibrated Dr N Cond Meter,_J Calibrated.(Dor N <br /> f I <br /> Temp Meter4kC Turbidity Meter Calibrated. Y or N <br /> [Casing factor 2'- 17 3"= 38 4'= 66 S"=1 02 6"=1 5 8"-2 ( � <br /> (Tn Gallons per linear foot)] <br /> F <br /> Tima Prod.-Rate... _Gallons(totaO Pit Ec Temp °C Turbidity Continents <br /> � 0 5 Z r z � z I n G� �"►- � <br /> d5p3 z ��� l�s� ° C ''., _ e �o <br /> no <br /> b fl 01, l 3o Z 7 0 Or- n i <br /> v Q <br /> I <br /> i <br /> Storage or Di 5 <br /> g Disposal Method Total Drums Onsite-, <br /> Percent Recharge Prior to Sampling, Sample Collection Method; bf% 05'61_ 'vqj <br /> Sample Labeled _L4 A w(Z Time.Sam le Dq { <br /> P , Laboratory: <br /> Aga]yS18' ��-X 2j L- <br /> No. of Contamers. <br /> Duplicate.P Trip Blank, Rtnsate Blank: <br /> Comments O p lc� C <br />