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' SLAES Enviroumeatalhtanagement,Ina GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue' (�Phoenix,Arizona 85003 Well No.. 5, 2) <br /> 602 728-0707 <br /> • Well Type K Monitor 13Remedial VE AS <br /> Site ID — lel 5,4'k 4 ❑ Other <br /> ' Project No 6t2— 7,) o-3 Well Material PVC ❑ St Steel <br /> Recorded By GiI iG ❑ Other <br /> ' - WELL PURGING — - - -- -- - -- - - <br /> Purge Volume Purge Date 1 L- 3 - o L 'Purge Method ; <br /> Casing Diameter(D)m inches ® Bailer Type b"I <br /> ' g2 inch ❑ 4 inch ❑ b inch ❑ Other ❑ Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD In feet � � tf ❑ Other <br /> Water Level Depth(WL in feet BTOC) ✓y !5 Pump Intake' Setting �Number of Well Volumes(#Vols)to be � _r <br /> [I Near Bottom [:1 Near Tap [:1 Other <br /> T7-3 [:14 ❑ 5 ❑ Other Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) TL <br /> �q 7Y — �� ►s to `72 <br /> 2 <br /> X 1 X -3 X 0 0409 = U, L� gallons <br /> TD(leet) WL D(inches) #Vols Calculated Purge Volume <br /> ' Pump Time Purge Rate Actual Purge Volume <br /> Start I 7 Stop 616 Time Initial gpm 7 gaiions <br /> ' Field Parameter MeasurementsFinai gpm_ I <br /> Time Time Lapsed Gallons J Cond 1 µ Cond 2 yl- SalinityTemp Notes <br /> ' � ----- - - -- - -- Purged - (umhos/cm) -(urnhos/Cm) <br /> I I <br /> Observations During Purging(well Condition,Turbidity, Color, Odor, <br /> J <br /> Purge Water Storage/Disposal ❑Drum(s), Number V ❑ Storm Sewer ❑ Sanitary Sewer <br /> ' Other/Comments o"f-lc , I,o-" galla— --A , k <br /> WELL SAMPLING <br /> Sampled By: /k Sampling Date I lz-,f- o2 Isampling Time <br /> ' Sampling Method Water Level Before Sampling(in feet STOC) <br /> ��}} 1 ,`- <br /> alley Type ,�C ❑ Same as Above <br /> ❑ Submersible ❑ Whale 1S.Grab Type <br /> ❑ Other ❑ Other Type <br /> Sampling Distribution Sample Series <br /> Sample No Containers,Vol ,# Analysts Preservative Lab Comments <br /> AIL- �/�0 7 J E IIirlor <br /> Joa j fk-t � <br /> u Vo a) $Zlx7 {-D ! Q L <br /> I <br /> I <br /> ' Other Notes <br />