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UTTEW <br /> We answer to you. GROUNDWATER SAMPLING FORM Page 1 of_i2_ <br /> Well No." <br /> Well Type: Monitor ❑ Extraction ❑Other Dup: <br /> MS/MSD: <br /> H Job Name: ukill gulch Millsite#M-2009-076 Well Material: ❑PVC ❑St.Steel Other �Vlrr eF <br /> Job Number: 10773200 Phase Date: a1~�G ;/l-4t Time: /V/Jr <br /> Recorded By: Sampled By: P9 414 <br /> (Sigtuthtre) (Sampling Team Members) <br /> PURGE VOLUME it PURGE METHOD <br /> Casing Diameter(D in inches):Z V lgailcr-Type: <br /> Total Depth of Casing(TD in feet BTOC): T) ❑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 /> ( 1 X z 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 (mL/ Purged (mS/cm) (NTUs) (mg/L) CC) (mV) Water Comments <br /> min) (R t.o.c.) <br /> 12 <br /> 15 <br /> 19 <br /> 21 <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: h- /.t Color. <br /> Turbidity(Qualitative): Odor: � Other: <br /> Purge Water Disposal: ❑San.Sewer ❑Storm Sever ❑Bucket:Type Size Other: <br /> SAMPLE COLLECTION RECORD <br /> Analysis <br /> Notes: <br /> Yid mo"el lc p� pro h C <br /> Form Printed: May 26,2017 <br />