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6L [5ftvironmenolMinagement,Iac I GROUNDWATER SAMPLING FORM <br /> 1433 North Thud Aves>ue <br /> Phoenir,Ad=na 85003 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 Cl St Steel <br /> Recorded By _M Hllstrom�v ❑ Other <br /> l U1Y V_r_9_ -��_wim �' WELL PURGING 10 /c �-�, V "I <br /> Purge Volume /purge Date 'ZLl'0 Z Purge Method <br /> Casing DVetr(D)in inches— <br /> ❑ Bailer Type <br /> ' ❑ 2 inch4 inch C) 6 inch ❑ Other ❑ Submersible ❑ Whale <br /> Total Depth of C ng(TD in feet El Other <br /> Water Level Depth( n feet BTOC) Pump Intake Setting <br /> ' Number of Well Volumes Vols)to be <br /> ❑ Near Bottom El Near Top Cher <br /> 0 3 ❑ 4 ❑ 5 ❑ Othe Depth in feet(BTOC) <br /> ' Purge Volume Screen Interval in Fee TOC) <br /> �.S� 2 3 to <br /> X X X 004gallons <br /> 1 TD(feet) WL D(inches) #Vols Calculated Purge Volume <br /> Pump Time ge Rat Actual Purge Volume <br /> Start Stop Time Initi gpm gallons <br /> ' Field ParameterMeasurements _i incl gpm <br /> Time Gallons Purged h Cond 1 —I Cond <br /> ' D 0% Mg/l —(umhaslcm) (urnhoslcm)i pot Temp C note <br /> ' <br /> Ob Nations During Purging{well Condition,Turbidity, Color Odor, <br /> Purge Water Storage/Disposal ❑ ❑ Storm Sewer El, Sanitary Sewer <br /> // <br /> Other /V <br /> _ _ -- --- ----- -� WELL SAMPLING T -- --- - <br /> [Sampled_By J M Hllstrom Sampling Date -Z lSampling Time (2 <br /> lSampling Method Water Level Before Sampling(in feet BTOC) <br /> Bailer Type Disposable 3' a as Above <br /> ' ElSubmersible ❑ Whale Grab ype <br /> Other Oth <br /> 10 Other Type <br /> Sampling Distribution Sample Series SEP 2002 <br /> I - <br /> Sample No I Containers Vol,# Analysis Preservative Lab Comments <br /> UU 7 C ! VOA, 40mL, j- X015 gas iHCI -- - - _DMA - - -OtIA- voA, \OrAcz <br /> - _ ---1 VOA, 40mL, 2 !8260B 'HCI -- -- OMA <br /> Ar __nber,lLlter, 1 !8015 dlesellHCl _ DMA <br /> Other Notes <br /> 1 <br />