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HE TTEW <br /> We answer to you. GROUNDWATER SAMPLING FORM Page 1 of—I— <br /> Well 1 0.: <br /> Well Type: Monitor ❑ Extraction ❑Other Dup> <br /> MS/MSD: <br /> Job Name: Hukill Gulch Millsite#M-2009-076 Well Material: ❑PVC ❑St.Steel -a Other Of <br /> Job Number: 107732000 — _Phase Date: Time: <br /> Recorded By: 1---'';%% Sampled By: �-29/1 L <br /> (Signature) (Sampling Team Members) <br /> PURGE VOLUME ri PURGE METHOD <br /> Casing Diameter(D in inches): 2 �, j3ailer-Type: <br /> Total Depth of Casing(TD in feet BTOC): Z 'Y ❑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) 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 /> 12 <br /> 15 <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: �tv� Color. <br /> Turbidity(Qualitative): Odor: V Other: <br /> Storm <br /> Purge Water Disposal: ❑San.Sewer ❑ Sewer ❑Bucket:Type Size_ Other: <br /> SAMPLE COLLECTION RECORD <br /> Analysis <br /> Notes: I <br />