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RETTEW <br /> i <br /> We answer to you. GROUNDWATER SAMPLING FORM Page 1 of_I_ <br /> Well Type: El'—M-onitor ❑ Extraction ❑Other Well 'o <br /> — Dup: <br /> - qr <br /> Joh Name:_Hukill Gulch Millsite#.M-2009-076 Well Material: ❑PVC ❑Sr.St el ��o_/c <br /> Job Number: 107732000 �7 Other_ <br /> Phase Date: U>�I7 �i Time: <br /> Recorded By, Sampled By: Dfj1' <br /> (Signnlure) (Sampling Team Members) <br /> PURGE VOLUME y PURGE METHOD <br /> Casing Diameter(Din inches)- Z 4 P'16ailer-Type: <br /> Total Depth of Casing(TD in feet BTOC): Z3' Q Submersible CJ Peristaltic❑Budder;Pump No: <br /> Water Level Depth(WL in feet BTOC):._R 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 (rnu Purged (mS/cm) (NTUs) (mg/L) (IC) (mV) Water Comments <br /> Mill) <br /> 12 <br /> 91 <br /> 27 <br /> S <br /> 30 <br /> Note; GT=Greaser Than. L'l'=Lest than. <br /> NM=NotMeawred NC=Not Collected, <br /> OBSERVATIONS DURING WELL PURGING: Well Condition: <br /> Turbidity(Qualitative): Odor. v Color: <br /> Other: <br /> Purge Water Disposal: ❑San.Sewer ❑Storm Sewer ❑Bucket:Type Stze_ Other: <br /> SAMPLE COLLECTION RECORD <br /> Analysis <br /> Notes: 00 <br /> Farm Printed: July 28,2017 <br /> 1 <br /> I <br />