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BIL AlEf Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 202 East Earli brave,Suite 478 <br /> Phoenix,Arizona 85012 Well No MW <br /> 602 72$-070T <br /> Well Monito ❑ Remedial -VE AS Recovery <br /> • Site ID Well 0 PVC ❑ St Steel 17 Other <br /> IProject No Z7�..,. Date Time <br /> Recorded By Sampled By <br /> WELL PURGING <br /> Purge Volume I Purge Date Purge Method <br /> Casing Diameter(D)In inches ❑ Bader-Type <br /> �2-inch [I4-inch [I6-Inch E] Other Submersible ❑ Whale <br /> Total Depth of Casing (TD in feet BTOC) .rl Other <br /> Water Level Depth(WL in feet BTOC) 1210 <br /> Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> ❑ <br /> 3 ❑ 4 El 5 ❑ Other Near Bottom [:1 Near Top ❑ Other <br /> Depth in feet(BTOC) <br /> I Purge Volume Calulation Screen Interval in Feet(BTOC) from <br /> ( (1781qo 4b '�6 ) �� 2 to <br /> TD(feet) WL(feet) X D(inches) X #Vols X 0 0409 = gallons <br /> 1 Calculated Purge Volume <br /> fE Pump Time Purge Rate Actual Purge Volume <br /> Start Stop Time Elapsed Initial gpm gallons <br /> Field Parameter Measurements Final gpm <br /> Time Time Lapsed Csallans Cond 1 Cond 2 <br /> P Purged (umhoslcm) (umhoslcm) Temp pH Notes <br /> Observations During Purging(well Condition,Turbidity,Color, Odor,etc <br /> Purge Water Storage/Disposal 14 Drum(s),Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> Other <br /> WELL SAMPLING <br /> Sampling Date Z— -��(� Sampling Time 7 <br /> Sampling Method Water Level Before Sampling(in feet BTOC) <br /> Bailer-Type ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> Sample No Con airier#,Vol,# Analysis Preservative Lab Comments <br /> 1-20Ci <br /> Other Notes <br />