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Purge Log Form <br /> Protect Name lin°? Protect Number I G Site Location f <br /> 01 No 3 Date OS-/36107 Field Tech ,0 f <br /> Total Depth s Depth to water Water Column Length <br /> Casing Diameter Casing Factor Volume Calculation a <br /> Total Purge Volume Casing volumes Produced S Pump Type 60 <br /> PH Meter C>Ativv Calibrated &or N Cond Meter 04"' Calibrated-&or N <br /> Temp Meter Turbidity Meter pA Calibrated Y or N <br /> [Casing Factor 2"= 17 3"=38 4"=66 5"=I 02 6"=I 5 8"=2 6 (In Gallons per linear foot)] <br /> Tine =Prod RateCrallons(total)�---DTW =PIi <br /> Ila a I 8�- i r 0c) <br /> �� I 3 b — 6 7S 10�s 1 �r QnQ <br /> b <br /> 0907 i 3 2. /0 bo o <br /> f <br /> Storage or Disposal Method_. rr Total Drums Onsite <br /> Percent Recharge Prior to Sampling_ 0 ) l� _ Sample Collection Method Q <br /> Sample Labeled_ x f-_ .r.W Sample Time (39,7-0 Laboratory_ CIw- <br /> Analysis 0341-Jr ki J �Ny � �- .00 e fn4 N 9;.(., No of Containers <br /> Duplicate Trip Blank Rinsate Blank <br /> Comments <br />