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' Purge Log Form <br /> Project Name' Project Nuber m 3� Site Location <br /> Well No Date <br /> Field Tech Ar <br />' Total Depth 17. Depth to water S-' 3 Water Column Length 5r <br /> Casing Diameter Casing Factor Volume Calculation f, 0 <br />' Total Purge Volume Casing volumes Produced <br /> � pump Type 16PIA:L, <br /> PH Meter C 12 P-4v.., Calibrated (Y)Or N' Cond Meter 041 CaIibrated(Y)or N <br /> Temp Meter o K Iw Turbidity Meter AA Calibrated Y or N <br />' [Casing Factor 2"= 17 3"=38 411=66 5"=102 6"=1 5 8"=2 6n Gallons <br /> {I per linear foot)] <br />' Trine =Prod RafeCrallons-fotal — _ _ -- _ - <br /> f ?—DTW_ RPh —Ec= -- -- — _ _ <br /> � —=Terri — <br />' 1 i o a a 19-7 AA G .ate <br /> 113.� 1.o � . � - � �-� �I I � 9_� + � G� �• <br /> fs0 <br /> ! �S <br /> '1 b / o /tau _ 4,U , <br /> 1 <br /> IStomcc or Disposal Method <br /> �o Sf _ Total Drums Onsite 14? <br />' Perccnt Recharge Prior to Sampling s W Sample Collection Method <br /> Sample Labeled_ PA^W • 1 Sample Time �-�lS' Laboratory <br /> AnaINsis {G / Ow" J 1 Cpj� a <br /> No of Containers <br /> IDuplicate Trip Blank Rinsate BIank <br /> mments <br /> r <br /> i <br />