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1I <br /> BLAlEfEnvironmentalhianagement,Inc L GROUNDWATER SAMPLING FORM l <br /> 1433 North Third Avenue 0 <br /> ' 'hocmx,AriLona 85003 Well NO <br /> i2-728-0707 <br /> Well Type ■ Monitor ❑ Remedial -VE AS <br /> Ite ID U-Haul #709-50 <br /> t ❑ Other <br /> Project No 002-70950- �� Well Material ■ PVC ❑ St Steel <br /> Recorded BY_-A Hdstrom © Other <br /> ' WELL PURGING <br /> Purge VolumePurge Date -6 Purge Method <br /> Casing Diameter(D)in inches �t '�e <br /> ei-Type <br /> ❑ 2-inch 4-inch ❑ 6-inch ❑ Other fO <br /> rsible ❑ Whale <br /> p <br /> Total Depth o Casing (TD in feet BTOC) a k-".AZ <br /> Water Level Depth (WL in feet BTOC) Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged5— f <br /> K3 [:34 C] 5 11 Other ❑ Near Bottom [I Near Top X Other � <br /> Depth in feet(BTOC) <br /> ' Purge Volume Calulatio—n o _ X Screen Interval in Feet(BTOC)�from <br /> 2 _72) t <br /> oty X_TO(Feet0 0409 - <br /> �WL(feet) gallons <br /> (inches) Vols <br /> Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Startoq28 Stop ©d Time Elapsed Initial ^ Z <br /> ppm h i0 gallons <br /> ' Field Parameter Measurements Final qpm <br /> Time Time Lapsed Gallons Cond 1 Cond 2 Tem <br /> ' Purged (umhoV m} (umhr,cm} p PH Notes <br /> l L r D Tk/m PRI <br /> ::0=6C Jew , AZ u <br /> 0 Lu- b <br /> GLk-Ir --,Z3 <br /> 0q5 3 - 36 <br /> ' i L��C3 C[La,• -i Z <br /> c) (02 <br /> Observations During Purging (well Condition, Turbidity Color, Odor etc 6n,6 Z tl,dL_4 f�S a F 55 <br /> Z66 -2 t',llSo� <br /> Purge Wat Storag fi Drum(s) Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> ' Other Coo a 6 lj l f, <br /> W LL SAMPLING <br /> I ' ISampled By M Hilstrom Sampling—Da te 2 'o Sampling Time <br /> Sampling Method Water Level Before Sampling(in feet BTOC) n. Z <br /> Bailer-Type 3 ft Disposable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other <br /> Other-Type - <br /> 5amplmg Distribution Sample Series 86�Z <br /> ' Sample No Containers Vol,# Analysis Preservative Lab Comments <br /> L -tz- 2 U a Ma Ir I <br /> -ZTOl5 ,s <br /> ' Other Notes <br /> ( <br />