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1 B I <br /> i/ E Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North <br /> x,A Thirdzona 85003 ` <br /> 1 'hoenn,Arizona 85003 Well No tJ/1V" <br /> 2-728-0707 <br /> Well Type ■ Monitor ❑ Remedial -VE AS <br /> ite ID U-Haul #709-50 l] Other <br /> 1 Prosect No ,002-70950- y`-f#- — Well Material ■ PVC ❑ St Steel <br /> Recorded By M Hilstrom ❑ Other <br /> ' WELL PURGING <br /> Purge Volume JPurge Date -` -6--, rEB3ader <br /> e Method �f <br /> Casing Diameter(D}m inches -Type _x r <br /> ' 2 inch ❑ 4-inch [] 6-inch [:J Other bmersible ❑ Whale <br /> Total Depth of Casing(TD In feet BTOC) ❑ Other <br /> Water Level Depth(WL in feet STOC) Pump Intake Setting <br /> 1 Number of Well Volumes (#Vols)to be Purged <br /> El <br /> 3 4 ❑ Near Bottom Near Top ["Qther <br /> ❑ ❑ 5 ❑ Other ❑Depth in feet(BTOC) <br /> 1 Purge Volume Calulation Screen Interval in Feet(BTOC) from <br /> z ,CJ — X5,5 5 X 2 2 -x - x 0 0409 = Pro to <br /> ' gallORS <br /> TD(feet) WL(feet)) D(inches) #Vols Calculated Purge Volume <br /> lP�Time Purge Rate Actual Purge Volume <br /> Start C18 is Stop C633Time Elapsed Initialqpm gallons <br /> j Field Parameter Measurements Final Rpm <br /> Gallons Cond 1 Cond 2 <br /> ' Time Time lapsed Purged (umbos/cm) Temp pH Notes <br /> e ( <br /> 9 � (umhoslcm) <br /> D ar S, stnLJJ <br /> 3 _a <br /> 1 } <br /> 1 Observations During Purging(well Condition,Turbidity Color, Odor etc <br /> i <br /> t <br /> Purge*at ;forage I ❑Drum(s), Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> 1 ; Other 000 r -• ' - $ <br /> l W LL SAMPLING <br /> 1 Sampled By M Hllst_rom_ Sampling Date - OZ ISampling Tlme dQ <br /> Sampling Method Water Level Before Sampling(in feet STOC) ✓t, 5 <br /> Satler-Type 3 ft_Disposable ❑ Same as,above y <br /> ' ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series (J-2— <br /> Sample No Containers, Vol # Analysis Pr servative Lab Comments <br /> -oG02- 22 VIDA 0 <br /> 2�r1<T0 a <br /> 1 m o 15 _ << <br /> I t <br /> Other Notes ' <br />