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RETTEW <br /> We answer to you. GROUNDWATER SAMPLING FORM Page I of_1_ <br /> ��vf�ttM�e� <br /> Well No.. <br /> Well Type: Monitor ❑ Extraction ❑Other Dup: �. <br /> C MS/MSD: <br /> Job Name: Hukill Gulch Mitlsite#M-2009-076 Well Material: ❑PVC SS. 1 O'Other <br /> Job Numbers 1 7732 Phase Date: <br /> r (► Time: <br /> Recorded By: Sampled By: <br /> Signature) (Sampling Team Members) <br /> PURGE VOLUME n PURGE METHOD <br /> Casing Diameter(D in inches): c r Ja Bailer•Type: <br /> Total Depth of Casing(TD in feet BTOC): Z 6 ❑Submersible❑Peristaltic❑Bladder,Pump No.: <br /> Water Level Depth(WL in feet BTOQ):^,G Other-Type: <br /> Number of Well Volumes to be Purged: PUMP INTAKE SETTING <br /> Screened/Open interval tlin Feet(BTOC)from to ❑Near Bottom ❑Near Top ❑ Middle of water column ❑ Other: <br /> r r Depth in feet(BTOC) <br /> PURGE VOLUME CALCULATIONS <br /> ( )X �X X 0.0409= Gallons <br /> TD(feet) WL(feet) D(inches) No.Volumes Calculated Purge Volume I <br /> FIELD PARAMETER MEASUREMENT <br /> Minutes Rate Gallons pH Cond. Turbidity DO Temp. ORP Depth to t <br /> Time Elapsed (mU Purged (mS/cm) (NTUs) (mgfL) ("C) (mV) Water Comments <br /> min) (ft t.o.c) <br /> 30 <br /> Vote GT=Greater Than. LT a Less Than. <br /> NM=Not Measured. NC=Not Collected. <br /> OBSERVATIONS DURING WELL PURGING: well Condition: *100d Color: <br /> Turbidity(Qualitative): _ Odor:_ —Y Other: <br /> ?urge Water Disposal: ❑San.Sewer ❑Storm Sewer ❑Bucket Type Size_ Other:._ <br /> SAMPLE COLLECTION RECORD <br /> Analysis <br /> Notes: <br /> �,� r►'i D.`S.(-r,-�c �'�.. to�P C <br /> R-Y <br /> t <br /> I <br /> i <br /> Form Printed: November 22,2016 <br />