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W Env[ronmentalMaaagement,rne. GROUNDWATER SAMPLING FORM <br /> ' 3433 North Tlnrd Avenue — - - W = <br /> P6oenlY,Arizona 85063 Well NO <br /> 602 728-0707 <br /> Well Type ■ Monitor ❑ Remedial VE AS <br /> Site ID U-Haul#709-50 Stockton CA ❑ Other <br /> ' Project No 002-709-50-03 Well Material ■ PVC ❑ St Steel <br /> Recorded By Hllstrom ❑ Other <br /> (} W� _�, _��,_ r� Uc,� WELL PURGING �l (,� I �, " c.0 ' <br /> ' Purge Volume ;Purge Date EPurge Method <br /> Casing Diameter(D) in inches ❑ Bailer Type <br /> t ❑ 2 i h�[] 41nch ❑ 6inch ❑ Other ❑ Submersible ❑ Whale <br /> Total De (TD in feet ❑ Other <br /> Water Le �(#Vo <br /> ) 'pump Intake Seftr� <br /> ' Number of Well Volube <br /> ❑ Near_Bottom ❑ Near Top ❑ Other <br /> 0 3 ❑ 4 ❑ 5 ❑ Other ___---D-e tp h in feet(BTOC) <br /> ' Purge Volume�`� � — Screen interval in Feet(STOC) <br /> r �2 qs <br /> S Z to <br /> X X 3 X 09 l gallons <br /> TD(feet) WL D(inches) #Vols uiated Purge Volume <br /> ' Pump Time Purge Rate Ac Purge Volume <br /> Start top Time Initia gpm gallons <br /> ' Field Parameter Measurements Final gpm <br /> Time Gallons Purged I Cond 1 Cond 2 <br /> iD O% ID O Mgll J (umhoslcm) i(umhoslcm)1SALpptt` Temp C note <br /> i F 1 <br /> � I <br /> Observations D Ping Purging(well Condition,Turbidity Color <br /> )1 Odor <br /> /`" ,� O� ��tA.� roamer✓ of idv� <br /> L oOk, � ; LC. la � 1 llQ• <br /> Purge Water Storage/Disposal ❑ Drum(s) Storm Sewer <br /> ❑ ❑ Sanitary Sewer <br /> Other-� -- <br /> _ WELL SAMPLING <br /> (Sampled By-i mp <br /> M Hllstrom Saling Date J 'Sampling Time <br /> (Sampling Method Water Level Before Sampling in feet STOC) <br /> 0 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_i — -Preservative Lab - Comments <br /> - - -- VOA,40mL, 2 Y 8015 gasHCl _ - :DMA <br /> I VOA, 40mL, 2 18260B HCl -DMA <br /> ' - - Amber,1Liter, 1 18015 dleseITkCI- - DMA <br /> Other <br /> Other Notes <br />