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P1_]rge Loi Form <br /> Project Name C" Project Number ��'� <br /> Site Location <br /> Well No Date a ('/I N/o S Field Tech 4 J <br /> Total Depth OF Depth to%vater (/q LY1 <br /> Water Colun-jn Length f), <br /> Casing Diameter <br /> Casing Factor . )� Volume Calculation <br /> Total Purge Volume (�. a Casino volumes Produced 3-3 <br /> -- Pump T}pe- <br /> PH Meter— O6'r-w Calibrated or N Cond Meter 04Y -i�" <br /> .�� Calibrated()?or N <br /> Temp Meter O fOl Turbidity Meter <br /> ---6 —.. Calibrated Y or N <br /> [Casing Factor 2"- I7 3"=-;3 4"= 66 57-102 6"=1 5 8"=2 6 (In Gallons per Imear foot)] <br /> Time Prod Rate 1 aIlo=,(total) DTW ph Ec o <br /> Temp( C) Turoidiiy Comments <br /> I ).o ! j. a <br /> 16-9-4 <br /> NkI I r <br /> Storage or Disposal Nfeihod <br /> Tota]Drums onsite <br /> P,MC-nt Recharge Prior to Sam [,pe pD <br /> Sample Collection Method f]"_O'_ <br /> Sample Labeled- /Ow • 'J_ Sample Time l/ 1)_ i' <br /> Laboratory- <br /> Analysis ►tt/0 n!", - 6 <br /> No of Containers- <br /> Duplicate• Trip BlanI; <br /> Rtnsate Blank <br /> Comments <br />