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LPhoenix, <br /> ESEmironmentalntanagetnent,Inc GROUNDWATER SAMPLING FORM <br /> rth Third A%enue <br /> Arizona 85003 Well NO MW'1 B <br /> 0707 <br /> Well Type ■ Monitor Cl Remedial VE AS <br /> Site ID U Haul #709 50 ❑ Other <br /> Project No 002 7095004 Well Material ■ PVC ❑ St Steel <br /> Recorded By Greg Coffin _ ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date �G-/G�s Purge Method <br /> Casing Diameter(D)In Inches2 6, <br /> inch <br /> Bailer Type <br /> ❑ 4 inch ❑ 6 Inch ❑ Other <br /> ❑ Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet 60 ❑ Other <br /> Water Level Depth(WL In feet BTCC) 1f`+ YL Pump Intake Setting <br /> Number of Well Volumes(# Vols)to be <br /> [I Near Bottom El Near Top ❑ Other <br /> 0 3 ❑ 4 ❑ 5 ❑ Other Depth In feet(BTOC) <br /> Purge Volume Calulation Screen Interval In Feet(BTOC) from 40 <br /> 2 to 60 <br /> TD(( _feet) WLR eZ X 2 X 3 X 0 0409 = i gallons <br /> D(Inches) #Vols Calculated Purge Volume <br /> r Pump Time Purge Rate Actual Purge Volume <br /> Start f�c*- Stop 4:V- ZL Time Elapsed Initial gpm gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons DD%` DO m /L <br /> Purged (mg/L) (umhos/cm) (umhods/cm) salinity Temp pH Notes <br /> rS 3 ty � / 33- -- -15Z3 _ �L4r py 197 <br /> Observations During Purging(well Condition Turbidity Color Odor etc „ '+ G � <br /> C L,, .c r r <br /> I Purge Water Storage/Disposal ❑ Druni Number <br /> ❑ Storm Sewer ❑ Sanitary Sewer <br /> Other/Comments Purge water contained In on site 1 000 gallon poly tank pending analysis/disposal <br /> WELL SAMPLING <br /> Sampled By Sampling Date 5_ 4 - C Sampling Time ID <br /> Sampling Method Water Level Before Sampling(in feet BTOC) `; S <br /> i I - <br /> aBaller Type _ Of 1rt{ Same as Above <br /> ❑ Submersible ❑ Whale IxGrab Type <br /> ❑ Other ❑ Other Type <br /> Sampling Distribution Sample Series <br /> Sample No Containers Vol , # Analysis-%115 I} Preservative Lab Comments <br /> IM.0 tl� _ !' It r� i— (S_C -,h <br /> Other Notes <br />