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' BitAEI En%ironmentalManagement,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> ' 'hoenn,12-734-0ArlLona 85003 Well No <br /> 707 <br /> Well Type ■ Monitor El Remedial -VE AS <br /> Ite ID U-Haul #709-50 ❑ Other <br /> ' Project No 002-70950-92y� Well Materral ■ PVC D St Steel <br /> Recorded BY--M Hllstrom ❑ Other <br /> ' WELL PURGING <br /> Purge Volume Purge DateC, L(,�c�— Purge Method <br /> Casing Diam;Z4-inch <br /> (D)in inches Bader-Type <br /> ' ❑ 2-rnch ❑ 6-inch ❑ Other ❑ Submersible ❑ Whale <br /> Total Depth of Casing(TD in feet BTOC) ❑ Other <br /> Water Level Depth(WL in feet BTOC) Pump Intake Setting <br /> ' Number of Well Volumes(#Vols)to be Purged <br /> X3 [:14 ❑ 5 ❑ Other ❑ Near Bottom ❑ Near Top [Other <br /> Depth in feet(STOC) <br /> ' Purge Volume Calulation Screen Interval in Feet(BTOC) from <br /> to <br /> To WL(rest) X D inches X #v X 0 0409 B gallons <br /> (inches) s Calculated Purge Volume <br /> Pump Time [Purge Rate Actual Purge Volume <br /> Start ,0 <br /> Stop Time Elapsed Initial qpm Final qpm �- gaflons <br /> Field Parameter Measurements <br /> Time Time Lapsed Gallons Cond 9 Cond 2 Tem <br /> ' 1 Purged (umhoslcm) (umhoslcm) p pH Notes <br /> 71` <br /> " l (, <br /> ' Observations During Purging(well Condition, Turbidity,Color Odor, etc Lt I- <br /> Purge Wat r S orag al, ❑Drum(s) Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> ' Other 8w ` v,- , <br /> MILL SAMPLING <br /> ' Sampled By M_Hlistrom_ Sampling Date -O Sampling Time <br /> Sampling Method Water Level Before Sampling(in feet BTOC) <br /> 0 Bader-Type 3 ft Disposable ❑ Same as Above <br /> ❑ Submersible ❑ Whale [: Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> ' Sample No Containers Vol # Analysis Preservative Lab Comments <br /> -of.OZ Z VD,/ - 60 tVl r <br /> Other Notes <br />