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BE, TTE,W. <br />We answer to you. <br />Well Type: XMonitor <br />GROUNDWATER SAMPLING FORM <br />❑ Rxtraction ❑ Other <br />Page I of _ 1 <br />39Ww/wp[•4� <br />��ell No.: <br />Dup; <br />Mi WMSD: <br />Job flame_ Hukill Gulch Miilsite RM -2009-676 Well Materinl: OPVC ❑ St. Stec k7 Other _ _ _ WPPI� <br />Job Number. _. I h_2.73M Phase Dale' r 16 Time: %z+-ir <br />Recorded By: Sampled By; D i <br />(Signature) (Sampling Tema Members) <br />PURGE VOLUME <br />Casing Diameter (Din inches): } <br />Total Dcpth of Casing (TD in fect BTOC): <br />Water Level Depth (WL in feel BTOQ,. <br />Number of Well Volumes to be Purged: <br />Screenedlopen Interval <br />jinrFFect tiTOC) from to <br />a. • Tt7 p I�� f'u"tii�i61r L �- <br />PU GE METHOD <br />oiler - Type: <br />❑ Submersible ❑ Peristaltic ❑ Bladder, Pump No..- <br />Other <br />d.:Other - Type: <br />PUMP INTAKE SETTING <br />❑NcarBottom ❑Near Top 0 Middle of water column O Ocher <br />Depth in feet (BTOC) <br />PURGE VOLUME CALCULATIONS <br />( .-)x M 2 X x O.D408 Gallons <br />TD (feet) WL (w) D (incites) No. Volumes Calculated Purge Volume <br />FIELD PARAMETER MEASUREMENT <br />Minutes Rate Gallons pH Cond. Turbidity DO Temp. ORP Depth to <br />Time Elapsed (MU Purged (ins/cm) (NTUs) (mg/L) (°C) (mV) Water Comments <br />min) (ft t.o.c.) <br />12 <br />5 <br />71 <br />74 <br />17 <br />30 <br />Bata GT = Gmater Than_ LT . Less Tlwn_ <br />Wd = Not Measured. NC - Nol Collected. <br />OBSERVATIONS DURING WELL. PURGING: Well Condition: _. Color. <br />Turbidity (Qualitative): Odor: Other. <br />Purge Water Disposal, ❑ San. Sc%ver ❑ Storm Sewer ❑Bucket: Type T Size _ Other. <br />SAMPLE COLLECTION RECORD <br />Analysis <br />Notes: <br />vy <br />Form Printed: December 29, 2016 <br />