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BEA- E!Euviranmental Manigemenl Inc GROUNDWATER SAMPLING FORM <br /> 202 East Earl]Drive Suite 478 <br /> !110ell, Arizona 85012 Well No <br /> (602)728 0707 <br /> Well Monit Remedial-VE AS <br /> Site ID 7095`a Well JV PV St Steel© Other <br /> Project No Z 7oR -D o 'Z Date 0-01 Time /d <br /> Recordedo9!���av Sampled By <br /> WELL PURGING <br /> Purge Volume Purge Date —?0 -0 Purge Method <br /> Casing Diameter(D)InBofler-Type <br /> 2-Inch El4-inch El6-Inch [I Other rSubmersible ❑ Whale <br /> Total Depth of Casing(TI)in feet ❑ Other <br /> Water Level Depth(WL In feet BTOC) Pump Intake Setting <br /> Number of Well Volumes(tt Vols)to be <br /> ❑ <br /> r 3 [:14 ❑ 5 ❑ Other Near Bottom El Near Top El Other <br /> I Depth In feet <br /> Purge Volume Screen Interval in feet(BTOC) to <br /> if 5- <br /> Tia(reef) L Sp X D(Inches) X 0 Vols X 0 0409 Calculated aurae gallons <br /> Pump Time Purge Rate g Actual Pur a Volume <br /> Start /S3 S"Stop j(yZo Time Elapsed initial {apm ( 3 gallons <br /> Field Parameter Measurements Final qpm <br /> Gallons Con CondMme Time Lapsed Purged Temp P Notes <br /> Observations During Purging(well Condition,Turbldlty Color Odor <br /> Water <br /> Purge N,,c, <br /> 9 Drum(s) ❑ Storm Sewer ❑ Sanitary Sewer <br /> Other <br /> WELL SAMPLING <br /> Sampling Date 3-�l_o / _ Sampling Time /Z�lj <br /> Sampling Method Water Level Before Sampling(in feet BTOC) (yam <br /> Bader-Type ❑ Some as Above <br /> Submersible ❑ Whale ❑ Grab-Type <br /> Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> Sample No Containers Vol H Analysis Preservative Lab Comments <br /> Other Notes <br />