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f <br /> RE TTE W <br /> We answer to you. GROUNDWATER SAMPLING FORM <br /> Page 1 of <br /> Well Type: Monitor ❑ Extraction ❑OtLer Well No.: j <br /> DUP- <br /> Job Name: Hukill Gulch M'isitc#M-2009-076 Well'Materiel: ❑PVC ❑St.Steel/ 'ther 1�4r <br /> Job Number: 10 73 0 Phase Date: ( �t 6 ("i; / T;rnc: /O/ <br /> Recorded By: Sampled By: pig&U/" ^ <br /> (Signature) (Sampling Tenet Members) <br /> PURGE VOLUME rr PURGE METHOD <br /> Casing Diameter(Din inches): Z y Rfailer-Type- <br /> Total Depth of Casing(TD in feet BTOC): 13• ❑Submersible❑Peristaltic❑Bladder;Pump No.: <br /> Water Level Depth(WL in feet BTOC) �/ _ Other-Type: <br /> Number of Well Volumes to be Purged: IPUMP INTAKE SETTING <br /> Screened/Open Interval in Feet(BTOC)from__to ❑Near Bottom ❑Near Top ❑ Middle of%vater column Q Otbet: t <br /> t <br /> Depth in feet(13TOC) <br /> PURGE VOLUME CALCULATIONS <br /> Gallons <br /> TD(feet) WL(feet) ll(inches) No.Volumes Calculated Purge Volume <br /> FIELD PARAMETER MEASUREMENT <br /> Minutes Rate Gallons pI1 Cond. Tutbidity DO Temp. ORP Depth to <br /> Time Elapsed (mU Purged (mS/cm) (NTIJs) (mg/L) (IC) (mV) Water Comments <br /> min) (ft t.o.c.) <br /> 4 <br /> 15 <br /> 24 <br /> 27 <br /> 30 <br /> Note:GT=Gmirer Than. LT=less Thin. <br /> NM=Not Measurcd. NC=Not Collected_ <br /> OBSERVATIONS DURING WELL PURGING: Weil Condition:. Itnad _Color: <br /> Turbidity(Qualitative): Odor: —t7 Other: _ <br /> Purge Water Disposal: ❑San.Server ❑Storm Sewer []Bucket:Type Size_ Other:SAMPLE COLLECTION RECO— <br /> RD <br /> Analysis <br /> Notes: <br /> np Mt�;yH,�.c pre h C <br /> Form Printed, May 26,2017 <br />