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Purge Log Form <br /> oJect Name _ky.',� AnA Project Number Site Location <br /> Well No S Date o 81aIAS Field Tech AJ' <br /> Total Depth L1 a S' Depth to mater (10-13 Water Column Length J? Y 6 <br /> Casing Diameter y Casing Factor • 6 6 Volume Calculation <br /> Total Purge Volume L/ Casing volumes Produced g Pump Type <br /> PH Meter Calibrated (�or N Cond Meter�� Cahbrated-()or N <br /> Temp Meter- Turbidity Meter AA Calibrated Y or N <br /> [Casing Factor 2 17 3"=38 4"=66 5"=102 6"=1 5 S"=2 6 (In Gallons per linear foot)] <br /> Time-_=Prod:Rate—Gallons(total) =Terri <br /> d / 0 d 6 3-41 F11 ;?.Z -7 <br /> a-6 <br /> 6,a; kvo raw <br /> u <br /> VAS"oR aG F72 9.z s 04 <br /> I <br /> Storage or Disposal Method S��'� Total Drums Onsite �-1- <br /> Percent Rccharge Prior to Sampling �1 to Sample Collection Method Qd <br /> Sample Labeled J /x Myv - $- Sample Time /.Z2-r' Laboratory <br /> Analysts_ -C)Q-u I&A C ) OAV /,L OyA s� ea& 6Y 81" No of Containers y <br /> Duplicate Trip BIank Rtnsate Blank <br /> Comments <br />