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Environmental Management rioc. GROUNDWATER SAMPLING FORM <br /> ' North Third Avenue <br /> Phoenix, <br /> h- <br /> Phenix,Arizona 85003 Well No 11{vj}6 Z B <br /> • 602 728-0707 <br /> Well hype ■ Monitor © Remedial VE AS <br /> Site ID IJ-Haul #709-50 Stockton CA ❑ Other <br /> Project No 002-709-50-03 Well Material 0 PVC ❑ St Steel <br /> Recorded By M Hllstrom ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date -z �Uy Purge Method ! 7 �. <br /> Gas+ng Diameter(D) in Inches Bailer Type 1� [ <br /> ' f2 inch ❑ 4 Inch [:16 inch ❑ Other El Submersible El Whale <br /> TTTot''al Depth of Casing(TD In feet ❑ Other <br /> Water Level Depth(WL in feet BTOC)' fPump Intake Setting Number of Well Volumes(#Vols)to be - - <br /> E 3 ❑ 4 ❑ 5 ❑ Other ❑ Near Bottom ❑ Near Top ❑ Other <br /> Depth In feet(BTOC) <br /> ' Purge Volume Screen Interval In Feet(BTOC) <br /> r 2/ Z /'2_031 2 3 01 to <br /> I (�) (p l J X X X 0 0409 gallons <br /> TD feet WL D(inches) #Vols Calculated Purge Volume <br /> ' Pump Time iPurge Rate {Actual Purge Volume <br /> Start Stop Time Initla gpm 6e%- gallons <br /> Field Parameter Measurements -� Final gpm <br /> Time Gallons Purged) I Cand 1 Cond 2 <br /> D O% ID O Mg/l (umhoslcm) '(umnoVern) SALppt Temp C note <br /> C-)9/5 -z 6 0-1q , lze IN-0 c71, 6 -21,1 <br /> I _ <br /> Observations During Purging(well Condition Turbidity Color,Odor, <br /> Purge WateStorage Ll►rprelrl ❑ Drum(s) ❑ Storm Sewer <br /> ❑ Sanitary Sewer <br /> WELL SAMPLING <br /> Sampled By M Hllstrom Sampling Date !Sampling Time [q 7th <br /> ' Sampling Method Water Level 2/ore Sampling(m feet BTOC) <br /> Bailer Type Disposable 3' ❑ Same as Above <br /> ' ❑ Submersible ❑ Whale ❑ Grab Type <br /> ❑ Other ❑ Other Type <br /> ;`Sampling pistril]ution Sample Series SEP 2002 <br /> ' Sample No Containers Vol # -_ Analysis Preservative — Lab Comments <br /> , VOA,40mL, 2 - X8015 gas HCI _DMA <br /> ---� VOA,40m1HC <br /> L, 2 ,82608 _ -_ I _-' - - ---DMA <br /> ' <br /> Amber,1 Liter, 1 8015 diesel)HCl DMA <br /> 4 <br /> Other Notes <br />