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t433 <br /> emenru EriiironmearaManagement,gInc GROUNDWATER SAMPLING FORM <br /> North Third A+eriue <br /> hocni�„Arizona 85003 Well No Y�1 Y <br /> .2 728-4707 <br /> Well Type ■ Monitor ❑ Remedial -VE AS <br /> Ste ID U-Haul #709-50 <br /> ' — ❑ Other <br /> Project No 002-70950_4,3' v"f <br /> --'------ Well Malaria! ■ PVC El St Steel <br /> Recorded By M Flllstrorrt ❑ Other <br /> WELL PURGING <br /> Purge Voiume Purge Date FrgeethodCasing Diameter(D)inmches Type�2-inch ❑ 4-inch ❑ 6-inch ❑ Othersible ❑ Whore <br /> Total Depth of Casing(TD in feet BTQC) ❑ Other <br /> Water Level Depth(WL in feet BTQC) <br /> ' Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged 'r V <br /> [I Near Bottom ❑ Atr <br /> Near Top <br /> *_3 <br /> ❑ 4 ❑ 5 ❑ Other Depth in feet(BTQC) <br /> ' Purge Volume Calulation Screen„ terval in Feet (BTQC) from <br /> _._0 5s 2 /r to <br /> (yr rD(feed <br /> WL(feet)' X d , es X X 0 0409 ° l90 gallons <br /> (inches) #Vols Calculated Purge Volume <br /> 12uu*p TtmQe Purge Rate Actual Purge Volume <br /> StartV Srop � Time Elapsed Initial qpm /�' f So gallons <br /> Field Parameter Measurements Final qpm <br /> Time Time Lapsed Gallons Cond 1 Cond 2 <br /> Purged (umhns cm) (umhoslrm) Tt np pH Notes <br /> 1 0 <br /> 7 u � _ <br /> l ,5 <br /> 1 <br /> ' Observations During Purging (well Condition Turbidity,Calor Odor, etc <br /> Purge WateStorag @"m I ❑ Drum(s) Number ❑ Storm sewer ❑ Sanitary Sewei <br /> ther 00 A O - 'r_ <br /> WELL SAMPLING <br /> ' ISampled By M Hrlstrom _ Sampling Date IZ� p Z Sampling Trine <br /> Sampling Method Water Level Before Sampling(in feet BTOC) tee► <br /> Bailer-Type 3 ft Disposable ❑ Same as Above <br /> ' ❑ Submersible T ❑ Whale ❑ Grab-Type , <br /> ❑ Other ❑ Other-Type <br /> ' Sampling Distribution sample Series <br /> Sample No Containers, Vol ,# Analysts I Preservative Lab Comments <br /> W 'Z _e6aZ. Vok t rA Y 0(5 G' I R,I Y)i, UIQ <br /> ' of b <br /> Other Notes <br />