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' BLAES EnviroomentatManagement,lur- GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> ' Phoenix,Arizona 85003 Well No (¢] <br /> 502-728-0707 '"`-- <br /> . Well Type lrMonitor ❑ Remedial VE AS <br /> Site ID (4-H ❑ Other <br /> ' Project No 6 0 Z-' -&( 5 b- 03 Well Material ice- PVC ❑ St Steel <br /> Recorded By t�t`�� ❑ Other <br /> ----- WELL PURGING __— - - -- -- - <br /> Purge Volume Purge Date i, -3 GL Purge Method <br /> Casing Diameter(D) in inches ❑ Bailer Type <br /> ' ❑ 2 inch K4 inch ❑ 6 inch ❑ Other ErSubmersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet (oI Z i ❑ Other <br /> Water Level Depth(WL in feet BTOC) 5 I. [Pump Intake Setting <br /> ' Number of Well Volumes(#Vols)to be <br /> Bottom ❑ <br /> 933 El 4 ❑ 5 11 Other Near Bottom Top ❑ Other <br /> Depth in feet(BTOC) V G <br /> Purge Volume Calulation Screen Interval in Feet(STOC) 37 <br /> ' <br /> X � 2 a to <br /> X J7 X 0 0409 = ¢� �� gallDnt� s <br /> C TD(feet) WL D(inches) #Vols Calculated Purge Volume <br /> ' Pump Time 10urge Rate JActual Purge Volume <br /> Start Stop 12[Q Time ^rp Initial Z- gpm r gallons <br /> - <br /> Field Parameter Measurements Final gpm <br /> Galfons Cond S Cond 2 <br /> Time Time Lapsed j Safmity j Temp i Notes <br /> �y -- -_ - --- Purged --_(umhas/cm) - (umhos/cm) <br /> I <br /> � f <br /> I <br /> Observations During Purging(well Condition,Turbidity, Color, Odor, w a}tv e- +ot}fxy �u ✓rid a d v{ � . <br /> Purge Water Storage/Disposal ❑Drum(s), Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> ' Other/Comments b ^j 1,4 ! 1, --n ) a i I� , <br /> WELL SAMPLING <br /> Sampled By o-PC Sampling Date I L-1-10 ISampling Time <br /> ' Sampling Method Water Level Before Sampling(In feet BTOC) yb ,YS <br /> �K8ailer Type Z'f i ❑ Same as Above <br /> ' ❑ Submersible ❑ Whale Grab Type <br /> ❑ other ❑ Other Type <br /> Sampling Distribution Sample Series <br /> ' Sample No Containers,Vol ,# Analysis Preservative Lab Comments I <br /> �A - S h I I l t'7Y r Is vr,r <br /> kKi t <br /> f <br /> ' Other Notes = <br />