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Purn Loi Form <br /> 1'rslcct Name: <br /> Project Number /?& Site Location: �-- <br /> Well No: Date:_ S .14`"f Field Tech: f <br /> Iota]Depth: S S. sH Depth to water: y 5-5— Water Column Length: L� <br />' Casing Diameter. 1 Casing Factor._21_21 y Volume Calculation_ l• - — <br /> Total purge Volume:____ 7 Casing volumes Produced: �- Pump Type: <br />' r: t`�hf� Calibrated Y r N <br /> P13 Meter: �A�'"� Calibrated: �'or N Cond.Mete <br /> Temp Meter: dokAov Turbidity Meter.^ AA- _ Calibrated:Y or N <br /> [Casing Factor: 2"=.17 3"--.33 4"=.66 5"=1.02 6"=I.5 S"=2.6 (In Gallons per linear foot)) <br /> -Tiiite Pr d late=Crsillons(t tal) DTW-" _==Ec �Temn(`. Tai iiv Comments�R=-=- = <br /> V t'A <br /> a-3, - I <br /> ! <br /> ! ! ! ! ! ! ! ! <br /> Storage or Disposal Method: J-`r pi. <br /> Total Drums Onsite: <br /> b 0 sample le Collection Method: <br /> �P---cent Recharge Prior to Sampling: �� - - P <br /> � le Labeled: AA I,/ ' Sample Time: •U Laboratory:_ --- <br /> 4am� <br /> t-nal�sis:_ 6Aa ITP4& 1 /, •�- D CA E,o13 No. of Containers. �f <br /> ` Duplicate: Trig Blank- Rinsate Hunk: <br /> 1i <br /> Comments: <br />