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Purge Log Form <br /> WPrq <br /> y <br /> Ject Name �� Protect Number 3'1-93'1-9Site Location <br /> Well No y T-10-2, <br /> Date��_ Field Tech � t <br /> Total Depth Depth to water_5'9 61 _ Water Column Length <br /> Casing Diameter Casing Factor �- Volume Calculation <br /> Total Purge Volume Casing volumes Produced Pump Type 4dc.A- <br /> PH Meter A-t Calibrated ip or N Cond Meter-t�JA--t ` Calibrated or N <br /> Temp Meter—A,ev Turbidity Meter AA Calibrated Y or N <br /> [Casing Factor 2"= 17 3"= 38 4"= 66 5"-1 02 6"=I 5 8"=2 6 (In Gallons per linear foot)] <br /> Time--=— Prod:Rate—Gallons(total) =DTW =Ph=_= Ec _-=Tem (°C}-= Turbidity-=f---Comments <br /> 113 y r . t z )LA .ate <br /> 'aa6 <br /> Storage or Disposal Method ri- _ Total Drums Onsite <br /> Percent Recharge Prior to Sampling �� Sample Collection Method d.". �v - <br /> Sample Labeled __]-/A A'i tv ' � Sample Time Laboratory <br /> Analysis l'-PLI)7 oW O'Ah J l 2 °_ ' coo (��gs 4 V No of Containers � <br /> Duplicate Trip Blank Rinsate Blank <br /> Comments U r✓A9 LI� i D S� �L <br />