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RuTTE <br /> We answer to you. GROUNDWATER SAMPLING FORM Page 1 of—I— <br /> Well No.: <br /> Well Type: Monitor ❑ Extraction ❑Other Dup: <br /> �11 MS/MSD: <br /> Job Name: Hukill Gulch Millsite#M-2009-076 Well Material: ❑PVC ❑St. tcel Other 1T PP E <br /> Job Number. 107732000_ _ Phase Date: dz Z ! Time: 1720 <br /> Recorded By: �� � Sampled By: � <br /> (Signature) (Sampling Team Members) <br /> PURGE VOLUME ? PURGE METHOD <br /> Casing Diameter(D in inches):_ b _,Cl-Bailer-Type: <br /> Total Depth of Casing(TD in feet BTOC): Z 3 ' ❑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 /> Depth in feet(BTOC) <br /> PURGE VOLUME CALCULATIONS <br /> ( )X z 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 (mu Purged (mS/cm) (NTUs) (mg/L) (IC) (MV) Water Comments <br /> min) (ft t.o.c.) <br /> 15 <br /> 12 <br /> 18 <br /> 24 <br /> 27 <br /> 30 <br /> Note: GT=Greater Than. LT=Less 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 OBucket:Type Size_ Other: <br /> SAMPLE COLLECTION RECORD <br /> Analysis <br /> Notes: <br /> Y 7/t�vL <br /> Form Printed: February 28,2017 <br />