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RAfSEnvtronmentalMaaagement,Ihc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue ��--- --w— . + R --- -- <br /> Phoenix,Arizona 85003 Well NO �110 — l? <br />� 502-728-0707 <br /> . <br /> Site ID Well Type ■ Monitor ❑ Remedial VE AS <br /> U-Maul #70950 St- ockton CA ❑ Other <br />! <br /> Project No 002-709-50-03 Well Material ■ PVC ❑ St Steel' <br /> Recorded BV M Hilstrom ❑ Other <br /> ' WELL PURGING <br /> Purge Volume Purge Date 9-2-9--02- Purge Method <br /> Casing Diameter(D) in Inches 7( g <br /> Basler Type <br /> 2 inch ❑ 4 inch ❑ 6 Inch [] Other <br /> Submersible ❑ Whale <br /> Total Depth of Casing(TD In feet ❑ Other <br /> Water Level Depth(WL in feet BTOC) ;Pump Intake Setting <br /> ' Number of Well Volumes(#Vols)to be - <br /> ❑ Near Bottom ❑ Near Top ❑ Other <br /> - 0 3 ❑ 4 ❑ 5 ❑ Other Depth in feet(BTOC) <br /> P <br /> urge V{Qollume Screen Interval in Feet(BTOC) <br /> �� rCJ — (c 1, Z 2 3 f to <br /> X X X 0 0409 t� gallons <br /> TD(feet) WL D(Inches) H Vols Calculated Purge Volume <br /> ' Pump Time urge-Rate - Actual Purge Volume <br /> Start Stop Time Initis gpm gallons <br /> ' Field Parameter Measurements I Final gpm <br /> Time Gallons Purged � Cand 1 Cond 2 <br /> D O% D O Mg1I (umhoslcm) (umhoslcm) SALppt Temp C note <br />! ' � �}ob2� <br /> _ _ I L <br /> I <br /> I <br /> Observations During Purging(well Condition, Turbidity Color Odor <br /> Purge Wate Stora a Dr514131; h❑ Drum(s), ❑ StorSewer ❑ Sanitary Sewer <br /> er -5�`Q , ZunAS <br /> ' -- -------- WE�LSAMPL�ING - <br /> Sampled By ' M Hllstrom Sampling Date - ] �Z -0 !-Sampling Time SSB? <br /> ' Sampling Method Water Level Before Sampling(in feet BTOC) , <br /> Bailer Type Disposable 3' ❑ Same as Above <br /> ' ❑ Submersible ❑ Whale ❑ Grab Type <br /> ❑ Other ❑ Other Type <br /> Sampling Distribution Sample Series SEP 2002 <br /> Sample No_ Containers,Vol # Analysis 1 Preservative Lab Comments <br /> 4_Om_L,2 <br /> 180f gas HCl <br /> VOA, 40L,12�1+2 ,82608 HCI TDMA <br /> ' - -- Amber,1 Liter, 1 18015 dtesell HCI - — DMA <br /> I <br /> I <br /> Other Notes <br /> 1 <br />