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I <br /> RETEW <br /> We answer to you. GROUNDWATER SAMPLING FORM Page 1 of_1_ <br /> f Well No." .}L 1 <br /> Well Type: id Monitor D Extraction ❑Other Dup: <br /> MStMSD: <br /> lob Name: Hukill Gulch Milsite#M-2004-076 Well Material: DPVC ❑,St S c1 — ❑ Other — <br /> Job Number: 107732 Phase Date: jp Time: 113-1 <br /> Recorded By: Sampled By: <br /> �Signatttre) (Sampling Teant Members) <br /> PURGE VOLUME Z/� PURGE METHOD <br /> Casing Diameter(D in inches):_ / ailcr-Type: <br /> Total Depth of Casing(TD in feet BTOC): ❑Submetsible❑Peristaltic❑Bladder;Pump No.: <br /> Water Level Depth(WL in feu 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 El Near Top ❑ Middle of waler column ❑ Other: <br /> t�.. .� <br /> Depth in feet(BTOC) <br /> PURGE VOLUME CALCULATIONS j <br /> ( )X 2 X X 0.0408= _ J Gallons <br /> TD(feet) WL(feet) D(inches) No.Volumes Calculated Purge Volume <br /> FIELD PARAMETER MEASUREMENT 1 <br /> Minutes Rate Gallons pH Cond. Turbidity DO Temp. ORP Depth to <br /> Time Elapsed (mU Purged (mS/cm) (NTUs) (mg/L) (°C) (mV) Water Comments <br /> min) (ft t.o.c.) <br /> is <br /> 21 <br /> 27 <br /> �f f <br /> 1 <br /> 30 <br /> Now GT=Greater Than. LT Ws Than <br /> NM=Not Measured. NC=Not CoLhxted. <br /> OBSERVATIONS DURING WELL PURGING: Well Condition: _Color: <br /> Turbidity(Qualitative): Odor. Other: <br /> Purge Water Disposal: ❑San.Sewer ❑Storm Sewer DBucket:Type— Size— Other: <br /> SAMPLE COLLECTION RECORD <br /> Analysis <br /> Notes. / t <br /> Form Printed: October 28,2016 <br />