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1 <br /> BL A- U Entironmentat,llanagemear,Inc GROUNDWATER SAMPLING FORM <br /> 1.133 North Third ai enue' r lhoenn,Arizona 85003 Well NO r ' ! 0i <br /> ,?728 0707 <br /> Well Type ■ Monitor ❑ Remedial -VE AS <br /> IMP Ite ID U-Haul #709-50 <br /> D Other <br /> Prolecr No_ Q02-70950-03' 0 -f Weil Materna! ■ PVC Cl St Steel <br /> Recorded 6y M Hllstram ❑ Other <br /> WELL PURGING <br /> Purge Volume (Purge Date I -Z�-a t Purge Method <br /> r <br /> Casing Diameter(D)m inches El Bailer-Type <br /> 2-inch E] 4-inch ❑ 6-inch E] Other <br /> ❑ Submers:ble ❑ Whale <br /> �ttlal Depth of Casing(TD in feet BTOC) ❑ Other <br /> Water Level Depth(WL in feet BTOC) Pump Intake Setting <br /> ' .NN.u(mber of Well Volumes(#Vols)to be Purged �0. e,t' I/ <br /> LSI 3 [:14 ❑ 5 1:1 Other [I Near Bottom [I Near Top [Other <br /> 777��� Depth in feet(BTOC) <br /> ' Purge Volume CaluWton Screen Interval in Feet(BTOC) from <br /> �� 8 _ 9 2 to <br /> et) �L(feet) X � X_ � X 0 0409 = � D,� � gallons <br /> ) D(inches) #Vols <br /> Calculated Purge Volume <br /> Ramp Time ;ter Purge Rate Actual Purge Volume <br /> Start EM Stop /'3Z Time Elapsed Initial qpm �1 .00 gallons <br /> ' Field Parameter Measurements Final qpm <br /> Time Time Lapsed Gallans Cond t Cond 2 Tem <br /> AWL Purged (umhoslcm) {umhoslcm) P PN {Voles <br /> A i-a IY1 vi h` lr acv v r <br /> i <br /> Ch1— t b� <br /> ' Observations During Purging(well Condition, Turbidity,Color Odor etc <br /> i <br /> i <br /> i <br /> i <br /> Purge Wat Storage/ I ❑Drum(s), Number [] Storm Sewer ❑ Sanitary Sewer <br /> ' Other ©OO �� 15I <br /> WELL SAMPLING <br /> Sampled By I M Hllstrom Sampling Date ISamplingTime 11 q6 <br /> Sampling Method I Water Level Before Sampling(in feet BTOC) n. S <br /> ' E Bailer-Type 3 ft Disposable Y� ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> ' Sampling Distribution Sample Series DC p2- <br /> Sample No Containers,Vol # "A�nalysjs Preservative Lab Comments <br /> -31 -O6C 2 V e L MphoAArn1 -- <br /> ' Other Notes <br />