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Pur,"e Loi Form <br /> Prolcct N:mc R tl AJo Proj=t Nu-b,r 1 SLic Loci-ion <br /> 11=11 No Datc 0 311 S A:7- Fie]d Tc:.h 0 r <br /> Total Dcpth Dcpth to«ater V9 atcr Column I cn_tlz 1 <br /> Cas,n-Diarnver Casing Factor 1-3 Voltia-ne Calculation e� <br /> Total Purze Vclurnc 0 Cas'n;%olt.Mcs F-ocacad a 9 Pump Tpc <br /> F-i Mctcr A-1 d^— Ca.slated (9cr N Cond Nict.r A4`l eliti Calibm=4 C)or N <br /> T---p Nfcter Ajy"'' Tum:dtn Nfctcr AA Calfo-at .d Y or N <br /> [Casa_ Fa=tor '= 17 3'= -,S 4'= o5 5'=1 03 6"=1 5 S'=2 5 (In Gallons per lm=foo,)J <br /> I <br /> <: Pr_' -,_ Gallor+s ,a_) DT',,' Ph Ez: T c-nD ('C1 Tu.-n:a:t; Comments <br /> 1/3o3.. 1 l 0 f / 0 Y9 �-a ILQ ad. <br /> C 131 1 30 39 I --3�29 169s I I A4 <br /> I6 �3 <br /> S.c.u_e or Dtsr sal ale nod s��`�' Total Drams Dnstte <br /> Fe-ceZt rRecrtarre Fnor to Sa.-nnt,ng A Sample CoIle:=n MthDd <br /> Sa,-nDic Labeled_`yAA w- / Sa,^D,c T=_ Laboratory OA-- <br /> "r`al <br /> � -`s's No of Con atncrs � <br /> DuDltcato Tnp Blank Rlnsatc Blank <br /> comments <br />