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a <br /> BMW <br /> We answer to you. GROUNDWATER SAMPLING FORM Page 1 of_1_ <br /> 4/lr— i=V <br /> jnf' <br /> Well No.: <br /> Well Type: ja<lnitor ❑ Extraction ❑Other Dap: <br /> MS/MSD: <br /> Job Name: Hukill Gulch MilIsite#M-2�9-07 Well Material: ❑PVC El J;'6ther W n YPF <br /> Job Nutter: 107732 I Phase Date: ( M.: j <br /> Recorded By: �/ ' Sampled By: Off <br /> (Signature) (Sampling Tenn Members) <br /> PURGE VOLUME PURGE METHOD <br /> Casing Diameter(D in inches):2 ? e .0'fiailer-Type: <br /> Total Depth of Casing(TD in feet BTOC), 2 + O Submersible❑Peristaltic❑Bladder;Pump No.: <br /> Water Level Depth(WL in feet BTOC): Other-Type: <br /> Number of well volumes to be Purged: PUMP INTAKE SETTING <br /> Screened/Open interval in Feet(BTOC)from to ❑Near Bottom ❑Near Top ❑ Middle of water column ❑ Other. <br /> G4 ffJe" jasfi�/liit4 Depth in feet(BTOC) <br /> PURGE VOLUME CALCULATIONS <br /> ( )x 2 x x 0.0408= Gallons <br /> TD(feet) WL(feet) D(inches) No.Volumes Calculated Purge Volume <br /> FIELD PARAMETER MEASUREMENT <br /> Minutes Rate Gallons pH Cond. Turbidity DO Temp. ORP Depth to <br /> Time Elapsed (mIJ Purged (mS/cm) (NTUs) (mg/L) (°C) (mV) Water Comments <br /> min) (ft t.o.c.) <br /> 12 <br /> 21 <br /> 24 <br /> 27 <br /> 30 <br /> Now GT-Grrsler TUn. LT-tAw Than. <br /> NM=Not Measured. NC=Not Collected. <br /> OBSERVATIONS DURING WELL PURGING: Well Condition: Color: <br /> Turbidity(Qualitative): Odor: Other. <br /> Purge Water Disposal: ❑San.Sewer ❑Storm Sewer ❑Bucket:Type Size— Other: <br /> SAMPLE COLLECTION RECORD <br /> Analysis <br /> Notes: <br /> t _ S0 tt„�,(, +vrr u v� p.� fi% p p �✓L i+,.`Fv/ <br /> Form Printed: November 22,2016 <br />