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i <br /> Pu;Qe Loz Fonn <br /> Name < wres Frolcct Nttrccr / b Si;c ttxatlan <br /> 1-0q= <br /> Well Na D tc r J C M1 ! �� Ftctc Tech �r <br /> a <br /> ' Total Derph Sb 9S' De-th to wale: 3 b Tb water CCILM.n L=g-,h ... aO ) � <br /> Cz<:ngDtarne:e� 3' Casing Factor Volume CalcalaL:4n <br /> ' Total Forge Volume I Casing volumes Frcducrd S' F-.:r+V T tiYe OAA,11(r- <br /> PH Mecc- A- Cahbrated 9 or N Casa Vvc• MI 4 Caiaorated br N <br /> Tvnp 1MW:r 1 Turucdin Mc:e- cr h <br /> ' P_,,,,g l=avcr V= 17 3"=38 4"= 66 5'=1 42 6"=i 5 8"=:6 +cn Ga,Icns pe-11" r fcct)] <br /> ' T-^-- -P.-rd Rate Gallors(total) DTW Pit F_ TcC) Tu—_1d.C, C cmn:r e t< <br /> -3e _3-� l (o ms 1109)- i 336 I AA GLO Ok", <br /> 34 64 0?2 f b Lf A0 r <br /> 3� <br /> s 1 I il l 3; 70 1 lilor -1-91, _ 1 V <br /> I I I I I I I i <br /> Stcrage or Disposal M.thod Tf^D Total Drsttts Orsit_ f' 7 <br /> ' PC'CtIE RC-_I.=p-.Pncr to Sampling- I i�o � Sa-nplc Collccucn Me,hcd <br /> Sample Labeled f</? M w a- Sstnplc Time Z 61). Labortc r <br /> ' A:ulyssz '67r-k ) JVG / DNyPA.AFZA4 .] /I &A f roe 6� No of Ccntatne-s <br /> Duplicate Trip Elink Rinsam Blank <br /> Cctnmcats <br />