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RE TTE <br /> We answer to you. GROUNDWATER SAMPLING FORM Page 1 H�of_1_ <br /> Well No.: <br /> Well Type: Monitor ❑ Extraction ❑Other Dup: <br /> MSIMSD: <br /> Job Name: Hukill Gulch MiIisite#M-2009-076 Well Material: ❑PVC ❑St.Steel Er0ther 0AG <br /> Job Number: 10773200 Phase Date: 07/$- Time:1' <br /> Recorded By: ��` Sampled By: <br /> (Signature) (Sampling Team Members) <br /> PURGE VOLUME PUF3GE METHOD <br /> Casing Diameter(D in inches): hailer-Type: <br /> Total Depth of Casing(TD in feet BTOC): 2 3 [1 Submersible❑Peristaltic❑Bladder;Pump No.: <br /> Water Level Depth(WL in feet BTOC):_on Y Other-Type: <br /> Number of well Volumes to be Purged: PUMP INTAKE SETTING <br /> Screened/Open Interval in Feet(BTOC)from to 13 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 state Gallons pH Cond. Turbidity DO Temp. ORP Depth to <br /> Time Elapsed (mlJ Purged (mSlem) (NTUs) (mg/L) (°C) (mV) Water Comments <br /> min) (t t.o.c.) <br /> 12 <br /> 18 <br /> 21 <br /> 24 <br /> 27 <br /> 30 <br /> Note: GT=GmaterThan. t:r=1X88711m. <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 UBuck-et:Type Size Other: <br /> SAMPLE COLLECTION RECORD <br /> Analysisj -I I <br /> Notes: Pry C h ueP y-t A"o 2 <br /> Form Printed: March 30,2017 <br />