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' BLAES Environmental Management,Inc. GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> ' Phoenix,Arizona 85003 Well No _ �a <br /> 602-728-0707 <br /> Well Type a Monitor ❑ Remedial VE AS <br /> Site ID ,l 54ts.Y. <br /> J ❑ Other <br /> ' Project No db 4 7C i 5-0 Well Material �e PVC ❑ St Steel <br /> Recorded By [M f ❑ Other <br /> ' WELL PURGING _---- ,-- -- <br /> Purge Volume Purge Date 1Z, q - v2, 'Purge Method <br /> Casing Diameter(D) in inches R Bailer Type t*" <br /> ' 2 inch [] 4 inch ❑ b inch ❑ Other ❑ Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TO in feet _ (o� `J ❑ Other <br /> Water Level Depth(WL in feet BTOC) _ j �1� Pump Intake Setting <br /> ' Number of Well Volumes(#Vols)to be <br /> ,r,/ El Near Bottom ❑ Near Top El Other <br /> L56 ❑ 4 [:15 ❑ Other Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) <br /> l 2 to <br /> X X --- X 0 0409 W_ 2 ,b7 gallons <br /> TD(feet) <br /> WL J D(inches) #Vols Calculated Purge Volume <br /> ' Pump Time Purge Rate I JActual Purge Volume <br /> Start /11 Stop 73 Time Initial gpm gallons <br /> Field Parameter Measurements l Final gpm <br /> Gallons Cand 1 Cord 2 <br /> Time Time Lapsed purged (umhos/cm) (umhos/cm) I Salinity I Temp Notes <br /> I I <br /> ' l <br /> + I <br /> Observations During Purging(well Condition,Turbidity, Color,Odor, <br /> Purge Water Storage/Disposal ❑Drum(s), Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> ' Other/Comments v•tVc{t aa-p "«01 <br /> WELL. SAMPLING <br /> Sampled ByF] fSampling Date 12' — OL ISamplift Time <br /> Sampling Method Y Water Level Before Sampling(in feet STOC) r <br /> Bailer Type ❑ Same as Above <br /> ❑ Submersible ❑ Whale XGr,b Type <br /> ❑ Other ❑ Other Type ' <br /> Sampling Distribution Sample Serres <br /> Sample No Containers, Vol ,# Analysis Preservative Lab Comments ! <br /> Pill VJ— Lo(5 r V' <br /> OR) Ii <br /> F�o <br /> I I <br /> 3 <br /> Other Notes �,JA {✓ �S� rC y T-4 gc�+�t�+R1 6 �4 <br /> 1 1 <br /> f <br />