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Purge Log Form <br /> Protect Name / v"'� f o-tk Project Number �� Site Location S 1 <br /> loll No 6 ,q Date D S 103 Field Tech P r <br /> Total Depth Sr Depth to water ��1-�'1 Water Column Length )3 <br /> Casing Diameter Casing Factor > > Volume Calculation- )..3 <br /> Total Purge Volume /�' ° Casing volumes Produced r1-µ Pump Type &tA,r. — <br /> PH Meter Oi0k4-0'' Calibrated (torN Cond Meter CAkil" Calibrated �OorN <br /> Temp Meter Q k1 s Turbidity Meter Calibrated Y or N <br /> [Casing Factor 2"= 17 3"=38 4"=66 5"=1 02 6"=1 5 8"=2 6 (In Gallons per hnear foot)] <br /> Tame Prod-Rate=Gallons(total)=DTW=-=P <br /> D13 <br /> II 633 � 010 <br /> OJ.G <br /> /Vxq AI <br /> / 0 a-I b 1 c13 y g, <br /> o 3 l /Y?7 OL 10. <br /> 3 r J o 1- 3 r 6 Sr /tar <br /> i <br /> Storage or Disposal Method sr Total Drums Onsite <br /> Percent Recharge P or to Sampling ✓ 0 Sample Collection Method <br /> Sample Labeled�f��IZ Mw J 6 A Sample Time Laboratory '^ <br /> Analysis DLL C pC by Qa6c No of Containers <br /> Duplicate Trip Blank Rlnsate Blank <br /> 3 <br /> Comments <br />