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RETTEW. <br /> We answer to you. GROUNDWATER SAMPLING FORM <br /> Page I of 1 <br /> up • i•.,r� i <br /> Well Type; '01monitor ❑ Extraction 0 Other Well N7 <br /> bup: <br /> Jab Name: Llukill Gulch Millsite#M-2009-076 WeII Material: ❑PVC MS/MSD: <br /> �� <br /> Job Number: 0 Phase ElSt Steel b <br /> Recorded By: Other <br /> / Date: rQ C//; <br /> Sampled By: Ttme: /� b <br /> _�L <br /> �Fj�� I <br /> (signature) (Sampling Team Members) <br /> PURGE VOLUME PURGE METHOD <br /> Casing Diameter(D in inches): Z �� I <br /> Total Depth of Casing(TD in feet BTO .• -1- 3 -Type: <br /> ❑Submersible❑Peristaltic[]Bladder;Pump No.: <br /> Water Level DepthOther-Type: <br /> Dep {FYL in feet B70C):.PRY <br /> Number of Well Volumes to be Purged:_ — PUMP INTAKE SETTING <br /> Screened/Open Interval in Feet(BTOC)from to ❑Near Bottom El Near Top ❑ Midd!c of water column ❑ Other: <br /> Depth in feet(BTOC) <br /> PURGE VOLUME CALCULATIONS i <br /> f —)X 2X X0.0408= <br /> TD(feet) WI.(feet) D(inches) No.Volumes Gallons <br /> Calculated Purge Volume I <br /> FIELD PARAMETER MEASUREMENT <br /> Minutes Rate Gallons PH Cond. Turbidity DO Temp. ORp Time Elapsed (mIJ Purged ( j Depth to <br /> min} 8 (m5lcm} (NTUs) (mg/I) °C (mV) Water Comments <br /> (ft t,o.c.) I <br /> I <br /> f� <br /> I <br /> 30 I� <br /> NO GT=Greater76ao, LT-14mTban. <br /> NM=Nat Measured NC=Nat Collected. <br /> OBSERVATIONS DURING WELL PURGING: Well Condition: <br /> Turbidity(Qualitative):_ _ Odor: / Color: <br /> Purge Water Disposal: E7 San Sewer ❑Storm Sewer []Bucket:Type Size Other: <br /> Other: <br /> SAMPLE COLLECTION RECORD <br /> Analysis 1 <br /> Notes: 4 <br /> Y �sQI�G /+Lr Gt (rJq flr0�< /(Ok-,0 <br /> l�C"' YC[QIrGY Lt/(�.'�rr <br /> I <br /> Form Printed: October 6,2017 i <br /> I, <br /> i <br />