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i <br /> i <br /> i <br /> RETIE <br /> We answer to you. GROUNDWATER SAMPLING FORM Page 1 of_1_ <br /> 9ow. � <br /> -- <br /> Well Type: Monitor ❑ Extraction El Other WeW No.:-- <br /> Dup:_ <br /> MS/MSD: <br /> Job Name: Huki[[Gulch Milisite#M-2009-076 Well Material: l7PVC El S.Stw. x Other <br /> Job Number: 107732000 Phase Date: t7 Z Time: <br /> Recorded By: lee X Sampled By: vekil� <br /> (Signature) (Sampling Team Members) _^ <br /> PURGE VOLUME 2 r� PURGE METHOD <br /> Casing Diameter m in inches):_ C Ja Sailer <br /> Total Depth of Casing(TD infect BTOC)• 03 a r LI Submers blame❑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 0.0409= Gallons <br /> TO(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) (°C) (my) Water Comments <br /> min) <br /> (ft t.o.c.) <br /> 27 <br /> 30 <br /> Notes CT Greater <br /> Than. LT=1.ess Thw. <br /> N\1=Not Measured. NC=Kot Collected. <br /> OBSERVATIONS DURING WELL PURGING: Well Condition: Ja od Color: <br /> Turbidity(Qualitative): Odor Other: <br /> Purge Water Disposal: ❑San Sewer ❑Storm Sewer ❑Bucket:Type Size_ Other: <br /> SAMPLE COLLECTION RECORD <br /> Analysis <br /> Notes: <br /> hO ko,'54ct Cl,, pit <br />