Laserfiche WebLink
HETTEW <br /> We answer to you. GROUNDWATER SAMPLING FORM Page I of 1 <br /> �:!P, <br /> eJ S <br /> � . _ <br /> We117'ypt 1<�Icxtitar ❑ E.xtraction ❑Other p+g 0j" 1`.•► Well Na..-aP--�`—L#,,',�� <br /> nlsfl►�u.��, <br /> Jvb Dante: lfukilf Gulch Alillsite (<125 1 O)36 !t°ell hluteriah QPVC ❑St.Steel ❑ Other <br /> JL+Number: 1t)773_(m ----Phase --•___---- Date � � Time: ••-3A0 4AA- —' <br /> RecordtA By:_. "" —_-- _-__---. Sampled BY-- <br /> (Signature) (S milling Team Xfmd em) <br /> PURGE VOLUME P RGE METH�O�D� <br /> Casing Diameter(�in inches}:rZ Sailer-Type:_S__^� tt+ +r / l�tt 4,14 <br /> ! . _.� <br /> Total Depth of Casing(TU in feet 13TCC): 17 Submersible£1 Peristaltic❑Bladder;Pump No___•_��— <br /> Watcr Level lkpth(WL in feet BTC3C) �� Other-l'yp:: <br /> Numbezuf Well Volumes tobePurged: ' PUMP INTAKE SETTING <br /> ScteenedlOpen Interval in feet(BTOC)fiom v _to 13 Nc;ar Bottom ❑Nc3r Top ❑ Middle of water column ❑ Other: <br /> R,pth in feet fRT(X') <br /> PURGE VOLUME CALCULATIONS <br /> _?X r_ _ 'X __ ..X 0(l•t0A- Gallons <br /> 'JU(feet) WL(feet) D(inches) �No.Volumes Calculated Purge Vttlutne <br /> FIELD PARAMETER MEASUREMENT <br /> Minutes Rate Gallons pH Cond. Turbidity DO Temp, ORP Depth to <br /> Time Elapsed (mLt Purged (mSicm) (N7 Us) (mg'L) M) (mV) Water CoMnentS <br /> ittin) Oft t,o.c.) <br /> 19 <br /> 27 <br /> 30 <br /> Now. Gt=GmMa Than. LT=Un Than. <br /> Net.tot I trasunrd K-\(t CoUccW. <br /> OBSERVATIONS DURING WELL PURGING: well condition: <br /> Turbidity(Qualitative):_ _ _ - Odor: _ Other: <br /> Ptrr�v, Water Dismal: ❑San.Sewer ❑Storm Sewer OBUCkCt_Type-Size— Other; <br /> SAMPLE COLLECTION RECORD <br /> Analyttis <br /> Notes: j 1) tAA 10G see"1:4� Ca� <br /> h.. vtlrE►'�`� Dt k se��et� ,� eat '�l��o�.;.�n,�,{��v' <br /> C'e-e S <br /> *1 <br /> Set Ire !ejou", so-r 604ow <br /> ,f *71n e <br /> Cotteded <br />