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PLirQe Loi Form <br /> Project harne Project Number <br /> Site Location <br /> . Well No Date 06//31AT -~ <br /> Field Tech /,l',J' <br /> Total Depth -ru Depth to«ater yg yq <br /> Water Colu im„n Length 3 L— <br /> Casing Diameter a Casino Factor 1 Volume Calculation_y <br /> Total Purge Volume R `d Casing volumes Produced '13' Pump Type <br /> PH Meter De vv Calibrated. 1'or N Cond Meter CAk-,`dv <br /> �^ Calibrated Y or N <br /> Temp Meter__a°kIav Turbidity Meter <br /> Calibrated Y or N <br /> [Casino Factor. 2"= 17 ;"=;3 4"= 66 5"=1 02 S"=l 5 8"=2 6 (In Gallons per linear foot)] <br /> Tune Prod R?te Gallors(total) DTW Ph Ec Temp(°C) Turoidity Comments - <br /> lsaar J i 7. � I 0 I yS',Iy I -? a�. 19-+-3 11. 1r,�,�. ��,r... <br /> �s�f � IS 19�q l � <br /> oq <br /> 919 <br /> Storage or Disposal IY12thod S�'� <br /> Total Drums Onsite <br /> P:rcent Recharge Prior to Samplirg• Sample Collection Mcthod <br /> Sample Labeled I�A ,i W 7Sample Time / t/-T- , <br /> Laboratory <br /> Analysis 4?7e4 T 6 /f i 1 Dc4 tr,a,f 6y ej-6O <br /> No of Containers- <br /> Duplicate Trip Blanl; <br /> Rinsate Blank <br /> Comments <br />