Laserfiche WebLink
' BLAES EnviroamentalManagemeot,Inc, GROUNDWATER SAMPLING FORM <br /> 1473 North Third Avenue -- <br /> ' Phoenix,Artunn 85003 Well No �,lr <br /> 502 728-0707 <br /> Well TypeXIMonitar ❑ Remedial VE AS <br /> Site ID L.I,— ,,� j- L1a�d\ ❑ Other <br /> i ' P No D( 2-- 70?�C3 ` C-) Well Materia! , PVC ❑ St Steel <br /> Recordcord ed By i� (� 0 Other <br /> I ' WELL PURGING — -__ - - --- - - <br /> Purge Volume Purge Date IZ 0 Purge Method <br /> Casing Diameter(D) in inches ❑ Bailer Type <br /> ' 2 inch [] 4 inch ❑ 6 inch ❑ Other <br /> '7 Submersible ❑ Submersible Whale <br /> Total Depth of Casmg(TD In feet A / ❑ Other <br /> Water Level Depth(WL in feet BTDC) 3 <br /> Pump Intake Setting <br /> Number of Well Volumes(#Vols) to be <br /> Near Bottom ❑ Near TapOther <br /> X3 ❑ 4 F-15 ❑ Other Depth in feet (BTDC) <br /> Purge Volume Calulation Screen Interval in Feet(BTDC) 7 <br /> S_ S 3 7 2 z 3 to 8'`� 7 <br /> TQ(feet) WL x D{inches) x vols X 0 0409 = 12 . 1 gallons <br /> LL Calculated Purge Volume <br /> ' Pump Time Purge Rate I Actual Purge Volume <br /> Start C733, Stop Time w+ — Initial gpm gallons <br /> Field Parameter Measurements --i - Final . 7 gpm - <br /> Time Time Lapsed Gallons Cond ! Cond 2 Salinity j Temp Notes <br /> Purged (umhos/em) (umhos/cm) <br /> I <br /> 1 <br /> I - <br /> Observations During Purging(well Condition, Turbidity,Color, Odor, <br /> ^4- <br /> Purge <br /> 4Purge Water Storage/Disposal ❑Drum(s), Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> ' Other/Comments 0'0 t c" <br /> WELL SAMPLING <br /> Sampled By. All(2&- Sampling Date 1:2 -57-6 -Z, Sampling Time- <br /> ' Sampling Method Water Level Before Sampling(in feet BTDC) Z� <br /> d1'� <br /> (�a:ler Type ❑ same as Above <br /> ' ❑ Submersible ❑ Whale gGrab Type <br /> ❑ Other ❑ Other Type <br /> Sampling Distribution Sample Series <br /> ' Sample No---T Containers,Vol ,# Analysis Preservative Lab Comments i <br /> -j- IaL I - V- A <br /> Z.la IStr <br /> ' %lou 5 �82L�a p-tIrt t <br /> i <br /> I <br /> Other Notes <br />