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RETTEW <br /> We answer to you. GROUNDWATER SAMPLING FORM Page 1 of_1 <br /> Well No.: <br /> Well Type: j�Monitor ❑ Extraction ❑Other Dup: <br /> MSWMSD: <br /> Job Name: Hukill Gulch Millsite#M-2009-076 Well Material: ❑PVC ❑St.Steel Other AMC <br /> Job Number: 1077320 _Phase Date: 107A--a ' rr Time: <br /> Recorded By: Sampled By: <br /> (Signature) (Sampling Team Members) <br /> PURGE VOLUME a PU GE METHOD <br /> Casing Diameter(D in inches): !I U'llailer-Type: <br /> Total Depth of Casing(TD in feet BTOC): 3 ❑Submersible❑Peristaltic❑Bladder;Pump No.: <br /> Water Level Depth(WL in feet BTOC): 09 Y Other-Type: <br /> Number of Well Volumes to be Purged: PUMP INTAKE SETTING <br /> Screened/Open interval in Feet(BTOC)from to ❑New 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 (mIl Purged (mS/em) (NTUs) (mg/L) CC) (mV) Water Comments <br /> min) (fl t.o.c.) <br /> 12 <br /> 21 <br /> 24 <br /> 27 <br /> 30 <br /> Note: GT=Greatcr Than. LT=Less T an. <br /> NM=Not Mcasured. NC=Not Collcetcd. <br /> OBSERVATIONS DURING WELL PURGING: Well Condition: Snore Color: <br /> Turbidity(Qualitative): Odor; +7 Other: <br /> Purge Water Disposal: ❑San.Sewer ❑Storm Sewer ❑Bucket:Type Size— Other: <br /> SAMPLE COLLECTION RECORD <br /> Analysis <br /> Notes: q,,� s..r. hwer O-W 4., od t o <br /> Form Printed: March 30,2017 <br />