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RETTEIT <br /> We answer to you. GROUNDWATER SAMPLING FORM Pa-e I of_1 <br /> Well No.: <br /> Well Type: Monitor ❑ Extraction ❑Other Dup: <br /> MS/MSD: <br /> Job Name: Hukill Gulch Milisite#M-2009-076 Well Material: ❑PVC ❑St. 't el her !'f <br /> Job Number: 107732000 Phase Date: 6 /l Time:_( Q <br /> Recorded By: Sampled By: <br /> (Si�ttnfrlre) (Sampling Team Members) <br /> PURGE VOLUME PURGE METHOD / <br /> Casing Diameter(Din inches): all ,Hailer-Type: 01_,0afw�4 <br /> Total Depth of Casing(TD in feet BTOC): �r El Submersible❑Peristaltic Bladder;Pump No.: <br /> Water Level Depth(WL in feet BTOC): z T.Z*' 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 -'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 (mLJ Purged (mS/cm) (NTUs) (mg/L) (°C) (mV) Water Comments <br /> min) (ft t.o.c.) <br /> 12 <br /> 5 <br /> 19 <br /> 27 <br /> 30 <br /> .Vote: of=Greater Than. LT=Less Than. <br /> NN1=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 ❑Bucker.Type Size, Other: <br /> SAMPLE COLLECTION RECORD <br /> Analysis <br /> Notes: Z d• O� L w r !+� 1,t/e6� t.,�/�4J ( It <br /> Form Printed: June 29,2017 <br />