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BV E En"r0nmental,"1[anagemept,Inc GROUNDWATER SAMPLING FORM <br /> 1 33 i..rth Third ar enue <br /> ' hoemx,Arizona 55003 Well No <br /> 2 728-0707 <br /> Well Type ■ Monitor ❑ Remedial -VE AS <br /> to ID U-Haul #70950 1:1 Other <br /> ' Project No 002-7095010, Well Material i PVC 13 St Steel <br /> Recorded By M Hllstrom ❑ Other <br /> ' WELL PURGING <br /> Purge Volume Purge Date (Purge Method <br /> Casing Diameter(D}in inches ❑ Bailer-Type <br /> ' 6-inch [] 4-inch ❑ 6-inch ❑ Other Submersible <br /> ❑ Whale11 i <br /> Total Depth of Casing(TD:n feet STOC) Other - �L7 ?, -F)ow 7i <br /> Water Level Depth(WL in feet BTOC) pump Intake Setting l <br /> ' Number of Well Volumes(#Vols)to be Purged <br /> 3 ❑ 4 ❑ 5 ❑ Other ❑ Near Bottom ❑ Near Top ❑ Other <br /> IITTTT����44 Depth in feet($;OC) <br /> ' Purge Volume Calulatien Screen Interval in Feet(BTOC) from <br /> 3 9 to <br /> . 1 ] <br /> 1( (feet) WL(feet) X D{inches) X #vols X 0 0409 gallons <br /> ' Calculated Purge Volume <br /> Pump Time JPurge Rate Actual Purge Volume <br /> Start 155 Stop 1709 Time Elapsed Initial qpm 'V ZD.56 gallons <br /> ' Field Parameter Measurements Final qpm <br /> Time Time Lapsed Gallons Cond Cond 2 <br /> ' Puraed Nmhoslcm) (umhoslcm) Temp pH Notes <br /> sF, I rcY o u <br /> ' D <br /> • <br /> 17 OLI <br /> gb "- C(� r <br /> 1 <br /> ' Observations During Purging(well Condition, Turbidity, Color Odor etc <br /> Purge Wate Storage I ❑Drum(s`) Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> ' Other 011 <br /> W LL SAMPLING <br /> Sampled By M Hllstrom ISampling Date G-20 -DZ Sampling Tlme i 0 <br /> Sampling Method Water Level Before Sampling(in feet BTOC) w 5' <br /> ' Bailer-Type _ 3 ft Disposable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> i ' Sampling Distribution I Sample Series <br /> Sample No I Containers, Vol # Analysis Preservative Lab Comments <br /> G -0Gcrz— 2- VOA- 19 rcO� C p F. <br /> ' cT �f5 C <br /> 0 15 0 <br /> ' Other dotes <br />