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IDM"1 1 EW <br /> We answer to you. GROUNDWATER SAMPLING FORM Page I of_I_ <br /> up ,a:-j <br /> Well 17 <br /> Well Type: P-1monitor Cl Extraction ❑Other Dup: <br /> MS/MSD: <br /> Job Name: Hukill Gulch Millsite#M-2009-076 Well Material: ❑PVC 0 St tgeI Other k o(p C <br /> Job Number: 1 77320 0 Phase Date: G ,, Time: d <br /> Recorded Bv: ��! — Sampled By: _ pel.e <br /> (Signature) (Sampling Team Members) <br /> PURGE VOLUME PURGE METHOD <br /> Casing Diameter(D in inches):Z _,Mailer-Type: <br /> Total Depth of Casing(TD in feet BTOC): Z f � 0 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) (-g/L) ('C) (mV) Water Comments <br /> min) (ft t.o.c.) <br /> 12 <br /> 18 <br /> 21 <br /> 27 <br /> 30 <br /> Note: GT=Greeter Than. LT=I'm Than. <br /> NM=Not Measured. NC=Not Collected. <br /> OBSERVATIONS DURING WELL PURGING: Well Condition: s,A -Color- <br /> Turbidity(Qualitative): Odor. —T Other: <br /> Purge Water Disposal: ❑San.Sewer ❑Storm Sewer Bucket:Type Size Other. <br /> SAMPLE COLLECTION RECORD <br /> Analysis <br /> Notes: / <br /> 99y �V+i[ �^►«Gt/ � ID.� "O b at /COivt <br /> Form Printed: October 6,2017 <br />