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EBLAES ERVIr <br /> onmentaiManagement,lnc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-66 <br /> 602-728-0707 <br /> � Well Type ■ Monitor El Remedial -VE AS Site ID U-Haul #709-50 ❑ Other <br /> Protect No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By Greg Coffin ❑ Other <br /> I WELL PURGING <br /> Purge Volume jPurge Date _oft/ D! Purge Method <br /> Casing Diameter(D)in inches ❑ Bader-Type <br /> 12-inch ❑ 4-inch ❑ 6-inch ❑ Other <br /> ❑ Submersible [:] Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) ❑ Other <br /> Water Level Depth(WL in feet BTOC) Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> ❑ Near Bottom El Near Top El Other <br /> E 3 ❑ 4 ❑ 5 ❑ Other Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 52 <br /> z to 72 <br /> 70 '�50 63"7L�' � X 2 X 3 X 0 0409 = gallons <br /> TO(feet) WL(feet) D(inches) #Vols Calculated Purge Volume <br /> Pump Time jPurge Rate Actual Purge Volume <br /> Start Stop Time Elapsed Initial gpm gallons <br /> — <br /> Field Parameter Measurements Final gpm <br /> Time Gallons Purged DO% DO(mglL) (uCund m) (umhosCond m) Salinity Temp pH Notes <br /> 7r/t7 7 6 90 <br /> I <br /> i <br /> � i I <br /> Observations uring Purging(well Condition Turbidity,Calor Odor,etc N <br /> y'*-M+- <br /> t _%W _rLf Fa+J` vv/.. 7's• C[a.srV A <br /> r MbN-vi�- <br /> Purge Water Storage/Disposal ❑ Drum(s) Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> Other/Comments Purge water contained in on-site 1,000 gallon poly tank pending analysis/disposal <br /> WELL SAMPLING <br /> Sampled By �'{,/ , Sampling Date i a ISampling Time <br /> Sampling Metho&VOE <br /> _ ' / Water Level Before Sampling (in eet BTOC) 63.26 <br /> Bader-Type 3 / �C7�als _ ❑ Same as Above <br /> ❑ Submersible -Type � ��� �a <br /> ❑ Whale ❑ Grab <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> Sample No _ Containers,Vol,# Analysis Preservative I Lab Comments—� <br /> s TI C3 Ile ,�1�3c <br /> Other Notes <br />