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RAfSEnvironmentatManagement;lne. _ GROUNDWATER SAMPLING FORM <br /> 3433 North Third Avenue – <br /> ' Phoenix,Arizona 85003 Well No <br /> . 602-729-0707 <br /> Wefl Type ■ Monitor 13 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 B M Hllstrom © Other <br /> - - -_ WELL PURGING <br /> Purge Volume [Purge Date4- 9'2 �Z f Purge Method <br /> 4C sing Diameter(D)in inches Bailer Type n <br /> ' 2 inch E] 4 inch F16 inch E] Other Submersible ❑ Whale <br /> TTotal Depth of Casing(TD in feet ❑ Other <br /> Water Level Depth(WL in feet BTOC) `Pump Intake Setting <br /> ' Number of Well Volumes(#Vois)to be <br /> El Near Bottom El Near Top ❑ Other <br /> N 3 ❑ 4 ❑ 5 ❑ Other Depth in feet(BTOC) <br /> Purge Volume WScreen Interval in Feet(BTOC) <br /> 091 r <br /> To(feet) WL � X 2 X 3 X 0 0409 � ,�� to gallons <br /> (inches) #Vols Cafculated Purge Volume <br /> tPump Time Purge Rate Actual Purge Volume <br /> Start Stop Time Iniha gpm w ,s gallons <br /> ' Field Parameter Measurements i Final gpm <br /> - _- - - - <br /> Time Gallons Purged Cond 1 Cond 2 <br /> 100% ;D 0 `MgRll —L (umhoslcm 7�/ ) (umhoslcm)ISALpprtt Temp C note <br /> J 0(J <br /> �nnn �r'cw�w <br /> Observations During Purging(well Condition, Turbidity, Color Odor, �� -� <br /> --V <br /> Purge WatStora /Disposal ❑ Drum(s), [❑ Storm Sewer ❑ Sanitary Sewer <br /> _ WELL SAMPLING <br /> Sampled By�--- - M Hllstrom-----�ampling Date X25'0�'- --,`Samp�l7ing Time � - <br /> ' Sampling_ Method I Water Level Before Sampling(in feet BTOC) (D S(`� <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 IN —� — Containers,Vol # Analysis �I PreservativeY —Lab Comments <br /> M (/U + '� VOA, 40mL, 2 18015 gas ;HCj - 1 DMA <br /> VOA, 40ml-, 2 82608 I HCI DMA <br /> ' ---�- -- —Amber,l Liter, 1-� 18015 diesel HCI - — -DMA <br /> I i <br /> Other Notes <br />