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Purge Loll Form <br /> Project Name Project Number Site Location <br /> *No �" Date, O 0 0 9 f o Field Tech �, 1 <br /> Total Depth (r,Ly 2T Depth to Rater 5-5- 91Water CaIun Lente h <br /> Caszn0 Diameter �— Casing Factor 1� m- Volume` Volume Calculation 17 <br /> Total Purge Volume DjS Casingvolumes Produced 3.9 <br /> Pump ZVpe a- <br /> PH Meter no k� Calibrated&or N <br /> Gond Meer Calibrated N <br /> Temp Meter- U� •oma Turbidity Meier— —A A Calibrated Y or N <br /> [Casing Factor 2"=17 3"=33 411=66 5"=1 02 6"=1 5 8"=2 6 (In Gallons per linear.foot�j <br /> Time - pd=Rate=CYa€lon�(total) DTW_ phEc---- - a — - -- _ <br /> II Temp Tlibldity—=Gammen -= <br /> x'13 (_C) � ��- <br />,�- C, <br /> 0- <br /> 6 6 <br /> lop r�t <br /> forage or Disposal Method Total Drums Onsite <br />"cent Rharee Prior to Sampling �3 Sample Collection Method <br /> ample Labeled W SampleTime Laboratory _ <br /> 61 L6.) <br /> No of C=aine-s <br /> uplicate Trip Blank Rinsate Blank <br /> ti <br />}mme-its r <br />