Laserfiche WebLink
RE'TTEW, <br /> We answer to you. GROUNDWATER SAMPLING FORM Page 1 of_I_ <br /> Well No: <br /> Well Type: kmonitor 0 Extraction ❑Other Dup: <br /> //n C MS/MSD: <br /> Job Name: Hukill Gulch Millsite#M-2009-076 Well Material: ❑PVC 0 St Steel Other <br /> Job Number: 10 000 Phase Date: _ d Time: 1 <br /> Recorded BY: Sampled By; <br /> (Signature) (Sampling Team Members) I <br /> PURGE VOLUME PURGE METHOD <br /> Casing Diameter(13 in inches):� .di4 ZI Bailer-Type: <br /> Total Depth of Casing(TD infect BTOC). ❑Submersible 11 Peristaltic 0 BIadder;Pump No.: <br /> Water Level Depth(WL in feet BTOC). __ Other-Type: <br /> Number of Well Volumes to be Purged: PUMP INTAKE SETTING T <br /> Screened/Open Interval in Feet(BTOC)from to 0 Near Bottom 0 Near Top 0 Middle of water column 0 Other <br /> Depth in feet(BTOC) <br /> PURGE VOLUME CALCULATIONS <br /> f }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 (mIJ Purged (mS/cm} (NTUs) (mg/L) (°C) (mV) Water Comments <br /> min) (ft t.o.c.) <br /> 3 � <br /> 9 ill <br /> 24 <br /> 27 <br /> 30 <br /> Note:GT=Greatcr Than. LT=Less Than, <br /> NIt=NotMcasurcd. NC=Not Collected. <br /> OBSERVATIONS DURING WELL PURGING: Well Condition: h Color: <br /> Turbidity(Qualitative): Odor: Other: _ <br /> Purge Water Disposal: ❑San.Sewer 0 Storm Sewer 0Bucket:Type Size_____ Other. <br /> SAMPLE COLLECTION RECORD <br /> Analysis <br /> Notes: <br /> i <br /> I <br /> { <br /> I <br /> i <br /> I <br /> Form Printed: Match 30,2017 <br />