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IT T T E W <br /> We answer to you. GROUNDWATER SAMPLING FORM Page 1 of_4 f/LJ <br /> 1_ <br /> Well No.: <br /> Well Type:AMonitor ❑ Extraction ❑Other Dup: <br /> 1 MS/MSD: <br /> Job Name: Hokin Gulch Millsite#M-2W9-076 Well Material: ❑PVC ❑St. tecl Other tT 1 F <br /> Job Number: 107732000 — // Phase Date: oz 2 4 /�- Time: I7 z O <br /> Recorded By: 'r ��i� Sampled By: 1" <br /> (Signature) (Sampling Team Members) <br /> PURGE VOLUME 7 It PURGE METHOD <br /> Casing Diameter(D in inches): Z 6 _,r.,Bailer-Type: <br /> Total Depth of Casing(TD in feet BTOC): ❑Submersible❑Peristaltic❑Bladder;Pump No.: <br /> Water Level Depth(WI,in feet BTOC): C5 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 2 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) (°C) (mV) Water Comments <br /> min) (ft t.o.c.) <br /> 12 <br /> 15 <br /> 21 <br /> 24 <br /> 27 <br /> 30 <br /> Note. GT=Greater Than. L I*=Less Than. <br /> NM=Not Measured. NC=Not Collected. <br /> OBSERVATIONS DURING WELL PURGING: Weil Condition: Color: <br /> Turbidity(Qualitative): Odor: Other: <br /> Purge Water Disposal: ❑San.Sewer ❑Storm Sewer ❑Bucket:Type Size_ Other: <br /> SAMPLE COLLECTION RECORD <br /> Analysis <br /> Notes: <br /> ...,oA u.11L oh 19ev6L <br /> Form Printed: February 28,2017 <br />