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U TTEW <br /> We answer to you. GROUNDWATER SAMPLING FORM <br /> Page ] of—I— <br /> Well Type:jZ Monitor ❑ Extraction ❑Other Well No.: <br /> Dup: <br /> MS/MSD; 1 <br /> /n I <br /> Job Name: Hukill Gulch Millsitc#M-2009-076 Well Material: ❑PVC ❑St. seer �Gther /t Y(p� <br /> Job Number: 10773206 Phase Date: Y Z ,1/7 e�/DD <br /> / Time: <br /> Itccordcd By: Sampled By: _ 6— <br /> (Signature) (Sampling Terms Members) <br /> PURGE VOLUME It PURGE METHOD <br /> Casing Diameter(D in inches): 7- rrJaBaBer-Type: <br /> Total Depth of Casing(TD in feet BTOC): 2 ❑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 /> Screcned/Open interval in Feet(BTOC)from to ❑Near Bottom ❑Near Top ❑ Muddle of water column ❑ Other: <br /> Depth in feet(BTOC) <br /> PURGE VOLUME CALCULATIONS i <br /> ( - 1 X—'X X 0.0408= Gallons <br /> TD(feet) WL(feet) D(inches) No.Volumes <br /> Calculated Purge Volume � <br /> FIELD PARAMETER MEASUREMENT <br /> I <br /> Minutes Rate Gallons pH Cond. Turbidity DO Temp. ORP Depth to <br /> Time Elapsed (mL/ Purged (mS/cm) (NTUs) (mg/L) (IC) (mV) Water Comments <br /> min} <br /> f <br /> 3 <br /> 15 <br /> I <br /> k301 <br /> Note: GT=Greater Than. LT=Le;s Than. <br /> NMI=Not Measumd. NC=Not Collected. <br /> OBSERVATIONS DURING WELL PURGING: Well Condition: Corot: <br /> Turbidity(Qualitative): Odor: Other <br /> Purge Water Disposal: ❑San.Sewer ❑Storm Sewer ❑Bucket:Type Size y Other: <br /> SAMPLE COLLECTION RECORD <br /> f <br /> Analysis I <br /> Notes: Y r -Tb"C r'l N(,C 0.1 12, fj C <br /> I <br /> I <br /> I! <br /> I <br /> i <br /> Form Printed: April 28,2017 <br />