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RE TTEW <br /> We answer to you. GROUNDWATER SAMPLING FORM Page 1 of—I— <br /> Well <br /> I((�� No.: <br /> Well Type: Monitor ❑ Extraction ❑Other Dup: <br /> / MS/MSD: <br /> Job Name: Hukill Gulch Millsile#M-2009-076 Well Material: ❑PVC ❑St.5teel �3'-Other <br /> Job Number: 107732 _ Phase Date: 0 r/{zI�� // Time: //DU <br /> Recorded By: �'� ' ' Sampled By: ,V 13 tG-X <br /> (Signature) (Santpling Tern Members) <br /> PURGE VOLUME t, PURGE METHOD <br /> Casing Diameter(D in inches): Z RBailer-Type: <br /> Total Depth of Casing(TD in feet BTOC):�2 S? 0 Submersible❑Peristaltic❑Bladder;Pump No.: <br /> Water Level Depth(WL in feet BTOC):——t 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) l)(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 /> Mill) (ft t.o.c.) <br /> 12 <br /> 18 <br /> 21 <br /> 24 <br /> 17 <br /> 30 <br /> Note: GT=Greater Than. LX Less Than. <br /> NM=Not Measured. NC=Not Collected. <br /> OBSERVATIONS DURING WELL PURGING: Well Condition: !}d�?� Color: <br /> Turbidity(Qualitative): Odor: VOther: <br /> Purge Water Disposal: ❑San.Sewer ❑Storm Sewer ❑Bucker.Type Size_ Other: <br /> SAMPLE COLLECTION RECORD <br /> Analysis <br /> Notes: pr 16"C r1"fr on �?�p�t <br />