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IMTTEW <br /> We answer to you. GROUNDWATER SAMPLING FORM Page 1 of_I_ j <br /> fWell Type: lanilor ❑ Extraction ❑Other Well No.: <br /> Dup: <br /> / L%lS/MSD:—_ <br /> Job Name: HAM Gulch Miltsite#(M_2009-076 Well Material: ❑PVC P to J2-6ther H )t'Ir <br /> Job Number; 107732 /_rPh= Date: Time: /731) <br /> Recorded By: J�/i/ Sampled By: D(in <br /> (Signahtre) (Sampling Teant Meinbrrs) j <br /> PURGE VOLUME It PURGE METHOD <br /> Casing Diameter(D in inches) <br /> - Z ?t A"BBailer-Type: 1 <br /> Total Depth of Casing(TD in feet BTOC), ❑Submersible❑Peristaltic❑Bladder;Pump No.: I <br /> Water Level Depth(WL in feet BTOC): D;v Other-Type: <br /> Number of well Volumes to be Purged: PUMP INTAKE SETTING j <br /> Screened/Open Interval in Feet(BTOC)from to ❑Near Bottom ❑Near Top ❑ Middle of water column ❑ Other: i <br /> • r �� �s�ii�rR tG Depth in feet(BTOC) i <br /> PURGE VOLUME CALCULATIONS ; <br /> { - )X 2 X X 0.0408= Gallons f <br /> TD(feet) WL(feet) D(inches) No.Volurttes Calculated Purge Volume { <br /> FIELD PARAMETER MEASUREMENT ! <br /> Minutes Rate Gallons pH Cond Turbidity DO Temp. ORP Depth to <br /> Time Elapsed (m1/ Purged (mS/cm) (NTUs) (mg(L) (°C) (mV) Water Comments <br /> min} <br /> (ft t.o.c.) <br /> 12 <br /> { <br /> i <br /> i <br /> I <br /> i <br /> S i <br /> } 18 <br /> 24 <br /> 27 <br /> i <br /> I <br /> 30 f <br /> Note: GT=Greater Tban. LT=tAvi'man. i <br /> YM=Not Measured MC a Not Collected. I <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 /> i <br /> SAMPLE COLLECTION RECORD i <br /> Analysis <br /> Notes: <br /> I <br /> i <br /> Form Printed: November 22,2016 <br />