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BLAES>;aYtroomeur2t,&n,gemepr,Jar- GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> ' oemx,Arizona 65003 Well No.; C- <br /> 602 726-0707 <br /> Well Type ji(Monitor ❑ Remedial VE AS <br /> Site IQ Uk a 7 <br /> ❑ Other <br /> ' Project No C),~ 7 J S O — 03 Well Material X PVC ❑ St Steel <br /> Recorded By M (? ❑ Other <br /> ' I ----- - WELL PURGING ---- -- --- - - - <br /> Purge Volume Purge Date r- , if -,L Purge Method <br /> Casing Diameter(D) in inches <br /> ❑ Bailer Type <br /> ' a2 inch ❑ 4 inch ❑ 6 inch ❑ Other aSubmersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet 7"IL ❑ Other <br /> Water Level Depth(WL in feet BTOC) SV 32- pump Intake Setting <br /> Number of Well Volumes(#Vofs) to be Near Bottom ❑ Near Tap El Other <br /> 3 ❑ 4 El 5 11 Other Depth in feet(STOC)_ 915' <br /> Purge Volume CaMation Screen Interval in Feet(BTOC) <br /> ' Ti- <br /> f1? L 32 2 z to r T-0X X 3 X 0 0409 = D 3 3 gallons <br /> TD(feet) WL D(inches) #Vols Calculated Purge Volume <br /> ' Pump Time Purge Rate Actual Purge Volume <br /> Startitq-y Stop Utt Time Initial .�� Z� gpm gallons <br /> ' Field Parameter Measurements 1 Final �-j`-_gpm <br /> 0 Time Time Lapsed Gaffons Cond 1 Cond 2 I Salinity Temp Notes <br /> Purged (umhos/cm) (urnhos/cm) <br /> --------------------- <br /> I <br /> 3 I <br /> I � I <br /> Observations During Purging(well Condition, Turbidity, Color, Odor, ��, fes . o,, �.�r } 41, <br /> ' r 12tigid Wfilif . <br /> Purge Water Storage/Disposal ❑Drum(s), Number [] Storm Sewer ❑ Sanitary Sewer <br /> Other/Comments C'h }t Loot U 110--- -tQ— <br /> WELL SAMPLING <br /> Sampled 6y lN0& Isarnpling Date- 12-5 f o Z Sampling Ttme <br /> ' Sampling Method �{ Water Level Before Sampling(in feet BTOC) `j'7 SO <br /> WBailer Type r 'f ❑ Same as Above <br /> ' ❑ Submersible ❑ Whale gGrab Type <br /> ❑ Other ❑ Other Type <br /> Samplrng Dr;tribution Sample Senes <br /> ' Sample No Containers, Vol,# Analysis Preservative Lab Comments <br /> r a Pjog o <br /> 15 H>✓ <br /> I <br /> Other Notes <br /> 1 <br />