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1 BLAEIEnvironmentalManagement,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well NoL' r ^b <br /> 602 728-4707 y <br /> Well Type ■ Monitor 13 Remedial-VE AS,ite ID U-Haul #709-50 l] Other <br /> ' Project No 002-70950-03 Well Material ■ PVC ❑ St Steel <br /> Recorded By B McDaniel ❑ Other <br /> ' L WELL PURGING <br /> Purge Volume JPurge Date 7 /V j Purge Method <br /> Casing Diameter(D)in inches Bailer-Type <br /> ' 2-inch ❑ 4-inch ❑ 6-inch [] Other ❑ Submersible ❑ Whale <br /> Total Depth of Casing(TD in feet BTOC) _7 ❑ Other <br /> Water Level Depth(WL in feet BTOC) 52_ „Z-S7 pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> ❑ <br /> Zpp��q Near Bottom ❑ Near Top ❑ Other <br /> 3 [:14 ❑ 5 ❑ Other Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from <br /> 2 to <br /> �—�— ` -Z 3 X Z X 3 X 0 0409 = z- gallons <br /> D h <br /> TO(feet) WL(feet) #Vols Calculated Purge Volume g <br /> ' Pump Time D Purge Rate Actual Purge Volume <br /> Start 12-,57 Stop I-12— Time Elapsed I + Initial qpm Z gallons <br /> ' Final qpm <br /> Field Parameter Measurements <br /> Time Time Lapsed Gallons Cond 1 Cond 2 <br /> ' 7 P Purged (umhoslcm) (umhoslcm) Temp Notes <br /> IiP 7 14'aD I� Y_Lf5 12_0 /�3 2.2.E 0. 6 <br /> 1� IZ119 Do JOG ZZ,z 6,� <br /> ' Observations During Purging(well Condition,Turbidity Color,Odor,etc <br /> Purge Water Storage/Dtsposal ❑Drum(s), Number ] Storm Sewer ❑Sanitary Sewer <br /> Other <br /> WELL SAMPLING <br /> Sampled By 1 8 McDaniel sampling ❑ate `7 p/ Sampling Time 7�,] <br /> Sampling Method I Water Level Before Sampling (in feet BTOC) Z L f <br /> ■ Bailer-Type _ 3 tt DlspOsable _ ❑ Same as Above <br /> ❑ Submersible ❑ Whale^ ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> ' Sample No Containers,Vol ,# Analysis Preservative Lab Comments <br /> ti 1, t- C7o t V s Y AP `' u <br /> l• 1' � L /� I S�If'C. /V <br /> Other Notes <br />