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EnvirnnmentalMiinagemenyInc- i_ GROUNDWATER SAMPLING FORM <br /> 1 ]433 North Third Avenue - - G <br /> Phoenix,Arizona 85003 Well No <br /> 602-728.0707 <br /> Well Type ■ Monitor ❑ Remedial VE A5 <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 Hilstrom 0 Other <br /> ' WELL PURGING <br /> Purge Volume Purge Date Purge Method <br /> Casing Diameter(D)in inches _ ❑ Bailer Type <br /> ' ❑ 2 inch �4 Inch ❑ 6 inch [] Other ❑ Submersible ❑ Whale <br /> Total Depth of Casing(TD in feet ❑ Other <br /> Water Level Depth(WL in feet BTOC) Pump Intake Setting <br /> ' Number of Well Volumes(#Vols)to be <br /> - ❑ ❑ <br /> 0 3 El 4 [1 5 1:1 Other Near Bottom ❑ Near Top Other <br /> Depth in feet(BTOC) <br /> ' Purge Volume t Screen Interval in Feet(BTOC) <br /> rg� 7 —r ( r 2 (� t0 <br /> ` Tp(feet) wt X X 3 X 00409 l# 8� gallons <br /> ` D(inches) #Vols Calculated Purge Volume <br /> 1 Pump Time Purge Rate (Actual Purge Volume <br /> Start Stop Time Initia gpm gallons <br /> ' Field Parameter Measurements Final gpm <br /> Time Gallons Purged <br /> I Cond 1 Cond 2 ' <br /> �D O% D O Mg/I (umhos/cm) i(umhos/cm) SALppi 'Temp C note <br /> 1 _ <br /> Observations During Purging(well Condition,Turbidity Color, Odor <br /> 1 <br /> Purge Water Storage/Disposal [] Drum(s), ❑ Storm Sewer ❑ Sanitary Sewer <br /> ' Other - -^ - -- - - -- - <br /> _ _ WELL SAMPLING <br /> Sampled —1 M Hilstrom Sampling Date Sampling Time <br /> ' Sampling Method I Water Level Before Sampling(in feet BTOC) <br /> E Bailer Type Disposable 3' ❑ Same as Above <br /> ' ❑ Submersible ❑ Whale ❑ Grab Type <br /> ❑ Other ❑ Other Type <br /> Sampling Distribution Sample Series SEP 2002 <br /> t Sample No Containers Vol #— Analysis Preservative Lab Comments <br /> VOA, 40mL, 2 — 8015 gas 1HCl --_ - -F--(DMA -_ - <br /> ' <br /> I VOA, 40nnL, 2 _ 18260B _j HCI_ -TDVA-- —_� Amber,)Liter, 1 YI8015 diesel)HCI --- MDMA <br /> i <br /> Other Notes <br /> 1 <br />