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B1rJ1f SEavrrnameatatMaaogemen'rac. LI <br /> '� GROUNDWATER SAMPNG FORM <br /> -- - <br /> ' North Third Avenue <br /> PbG ^— <br /> Phoenix,Arizona B5003 Well Na <br /> 502-72&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 M Hllstrorn ❑ Other <br /> ' WELL PURGING <br /> Purge Volume Purge Date —Z3-01 Purge Method <br /> Casing Diameter(D) in inches ❑ Bader Type <br /> ' ❑ 2 Inch I4 inch ❑ 6 Inch ❑ Other �ubmersi eWhale w <br /> Total Depth of Casing(TD in feet El Other ' la'd 00'-j �r1A,r<aC`a5 <br /> Water Level Depth(WL in feet BTOC) j, Z Pump Intake Setting <br /> ' Number of Well volumes(#Vols)to be <br /> 3 F1 4 ❑ 5 1:1 Other ❑ Near Bottom ❑ Near Top Other <br /> Depth in feet(BTOC) <br /> ' X0 <br /> Purge Volume — Screen Interval in Feet(BTOC) <br /> rSg.ZS 9 , to t��. g z 2 <br /> X X 3 X 0 0409 r gallons <br /> { <br /> TO(feet) WL D(inches) #Vols Calculated Purge Volume <br /> ' `Pump Time -- _� Purge Rate iActual Purge Volume <br /> StartliwAtop 510 Time Initra `� S gpm ^- 5 Z <br /> gallons <br /> Field Parameter Measurements Final gprn <br /> Time(} �A Gallons Purged) Cond 1 Cond 2 <br /> T N�� ID O% ID O Mg/1 (umhoslcm) (umhosrcm)ISALppt Temp C I note <br /> y3 3 <br /> t2-7 -6.16 I `C3 N10 0- 17 », C" 1, <br /> Ir <br /> f - -2 ?- - D� 18 I3 �3 1�}z3 O, `] Z3, z Ll�ar <br /> ` 9 � 1 9 ff,6 © 1 �! (351 1`408 0 `] z7 <br /> ' S y ��� yr� �i f Z(,-Z 1'5L8 0r � L2.� <br /> X01 32 I.O oro8 IZ51 131 b, 7 Z2-5 <br /> 5o -4(b "S (7-47 ) 315 I01I -L —S <br /> 5 0� -4 ill t rZ ©m) (Ott 6711 O,q ZZ. 5 <br /> Observations During Purging(well Condition Turbidity Color Odor, Gqt ® LAK6j, <br /> i n 6 Pim ( cA0±1 y q 7 <br /> Purge Water Storage/Disposal ❑ Drum(s), <br /> ❑ Storm Sewer ❑ Sanitary Sewer <br /> -Other - ----- - --- - --- - <br /> _ WELL SAMPLING <br /> ;Sampled By M Hedstrom IYSampling Date Z Sampling Time 1 LJ as <br /> ' Sampling Method Water Level Bye Sampling(In feet BTOC) Q <br /> Bailer Type Disposable 3' ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab Type <br /> ' ❑ Other ❑ Other Type <br /> !Sampling Distribution I Sample Serres SEP 2002 <br /> ' Sample No_ - Containers Vol # Analysis Preservative Lab Comments <br /> • OA tu, �jCi VOA, 40mL,2r 1 Y8015 gas ,HCI _ _`--' - _ ;DMA <br /> VOA. 40mL,2 1 18260B HCI _ _DMA <br /> Amber,lLlter, 18015 dleseINCI --� DMA <br /> Other Notes <br />