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Purge Log Form <br /> 'Protect Name_ f3/+iy'xo - Q. Protect Number 3 c�-� Site Location �- <br /> 911 No S Date W aroS Field Tech !a J <br /> Total Depth Depth to water y�• 5- <br /> --_ Water Column L7ength l - ) <br /> T <br /> Casing Diameter Casing Factor , 1� Volume Calculation ! <br /> Total Purge Volume Casing volumes Produced 3 .9 Pump Type <br /> PH Meter Ajl!f 0 Calibrated 6 or N Cond Meter Calibrated Oor N <br /> Temp Meter 0 AtW Turbidity Meter M 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 linear foot)] <br /> Tame--= Prod.Rate Gallons(total) DTW Ph Ec Tem (°C) Turbidity Comments <br /> i 049 1 3 On— � 8's 14 13 4 r /F-3 Ad w ca. tea" <br /> bs4 ,61 ;q.1-9 11-1 A4 641 <br /> 1051 Ib•4 - _ar 1`f14 1 ° ,-x <br /> t 103 f g. 13 1 ,ZV aq <br /> Storage or Disposal Method ss Total Drums Onsite <br /> Percent Recharge Prior to Sampling f 0 1O Sample Collection Method <br /> Sample Labeled AAY►/ s Sample Time 0;S" Laboratory l�.lggit <br /> Analysis — �Tp1-IF 1 O-xy f /i Z d '� �Q� $a6� No of Containers I __ <br /> Duplicate Trip Blank Rmsate Blank <br /> Comments <br />