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RETTEW <br /> We answer to you. GROUNDWATER SAMPLING FORM Page 1 of_1_ <br /> ,66 <br /> Well No.: <br /> Well Type: �Monitor ❑ Extraction ❑Other pup: <br /> f p MS/MSU: <br /> Job Name: Hukill Gulch Miilsite#M-2009-076 Well Material: ❑PVC ❑St Steel Other rT P` E _ <br /> Job Number: 1077320 10 Phase pate: 0 f Time:_ / NO <br /> Recorded By �^ ��''" Sampled By: l(� <br /> (Signature) (Sampling Teaut Members) <br /> PURGE VOLUME PtJRGE METHOD <br /> Casing Diameter(Din inches):? ill Bailer-Type: <br /> Total Depth of Casing(TD infect BTOC): ❑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 2 X X 0.0408= Gallons <br /> TD(feet) WL(feet) 1)(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 /> 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 ❑Bucket:Type Size Other: <br /> SAMPLE COLLECTION RECORD <br /> F <br /> Analysis <br /> tes; <br /> Form Printed: March 30,2017 <br />