Laserfiche WebLink
BLAES Environmental Management,Ina <br /> 1133 North Third Avenue <br /> GROUNDWATER SAMPLING FORM <br /> - - <br /> ' Phoeaix,Aruooa 8511, <br /> 602-7Wel! No 3 <br /> Z&1717 <br /> Site ID - 5-h4 j, k,� <br /> Well Type I r-Monitor ❑ Remedial VE AS <br /> Protect No 002_- � <br /> - 0�- a j 111 Other <br /> Well Material I� PVC ❑ St Steel <br /> Recorded By �(� ❑ Other <br /> WELL PURGING --- -- -- --- -- - <br /> Purge Volume Purge Date {Z _"t _ OL Purge Method <br /> Casing Diameter(D) in inches El Sailer Type <br /> ' X2 inch 0 4 inch ❑ 6 inch ❑ Other SSL,�+ <br /> Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TO in feet �I 54 ElOther <br /> Water Level Depth(WL m feet BTOC) X0,7 Pump Intake Setting <br /> t Number of Well Volumes(#Vols)to be ! <br /> Near Bottom ❑ Near Top ❑ Other <br /> )(3 El 4 C1 5 11 Other <br /> Depth in feet(STOC)— Z5 _ <br /> Purge Volume Caiulation Screen Interval in Feet(STOC) �Z <br /> 73 56 — Y" ZZ11 Z to _ 77 <br /> To(feet) WL J X X -3 _ X 0 0409 = X. 2 7 gallons <br /> D(inches) #vols Calculated Purge Volume <br /> Pump TtmePurge Rate�� Actua! Purge Volume <br /> Start12 2 0 Stop 11" Time' Initial �` gpm gallons <br /> Field Parameter Measurements Final '0. 7i gpm <br /> Time Trme Lapsed Gallons Cond I Cond 2 i - <br /> -— - - Salinity(umhos/cm) (1JMhDs/cm) l I Temp i Notes <br /> I <br /> I <br /> I I <br /> ' [Observations During Purging(well Condition, Turbidity Calor Odor, <br /> Purge Water Storage/Disposal ❑Drum(s), Number ❑ Storm Sewer ❑Sanitary Sewer <br /> ' Other/Comments Q { per- 4 <br /> WELL SAMPLING <br /> ' Sampled By.7 5amphng Date f— —0 Z 5ampfrng Trme <br /> Sampling Method Water Level Before Sampling(in `7 <br /> 3, zs <br /> if <br /> in€ t $TOC <br /> QS Bailer Type __7I• ❑ Same as Above <br /> ' ❑ Submersible ❑ Whale Grab Type <br /> ❑ Other ❑ Other Type <br /> Sampling Distribution Sample Series i <br /> ' Sample No Containers,Vol ,# Analysis Preservative Lab Comments i <br /> MW PF <br /> Vat P-0 k <br /> I <br /> Other Notes <br /> 1 i <br />