Laserfiche WebLink
BIJAEI Eauronmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third A%enue <br /> ' "hocnic Arizona 85003Well No ID <br /> )2-728-0707 <br /> Fite ID U-Haul #709-50 Well Type ■ Monitor C3 Remedial-VE AS <br /> ❑ Other <br /> ' Project No _ 002-70950-0 OLt Well Material ■ PVC ❑ St Steel <br /> Recorded By M H)lstrom ❑ Other <br /> ' WELL PURGING <br /> Purge Volume Purge Date C, 2_G— Z L <br /> F__Method <br /> C 'ng Diameter(D)in inches T e <br /> ' 2-inch ❑ 4-inch ❑ 6-inch ❑ Other Submersible ale r <br /> Total Depth of Casing(TD in feet BTOC) &Ulf 2, <br /> Water Level Depth (WL in feet BTOC) Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> ❑ Near Bottom ❑ Near Top [:J Other (J <br /> )(3 ❑ 4 ❑ 5 ❑ Other Depth in feet(8TOC) <br /> ' Purge Volume Calulation Screen Interval in Feet(BTOC) from <br /> 2 1 � to <br /> TO(feet) WL(feet) � X D(inches) X #vols X 0 0409' <br /> Calculated Purge Volume <br /> v _ gallons <br /> Pump Timeff Purge Rate Actual Purge Volume <br /> StartOG Stop l Time Elapsed Initial�A qpm .1.. 1 3 gallons <br /> Field Parameter Measurements Final �_ qpm <br /> Time Time Lapsed Gallons Cond 1 Cond 2 <br /> Purged (umhoslcm) (umhoslcm) Temp pH Notes <br /> t)2- r -�" C_ , 1 <br /> LIJ <br /> Observations During Purging(well Condition,Turbidity,Color Odor,etc <br /> Purge Wate Ej Drum(s), Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> ' Other 1000 1 <br /> WEE SAMPLING <br /> ' [Sa7mplec! BY7 M Hllstrom Sampling Date -Z7'�Z Sampling Time3�r} <br /> Sampling Method Water Level Before Sampling to feet BTOC) `� 3 <br /> Bader-Type 3 ft Disposable ❑ Some as Above <br /> ' ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series �%/tU '2— <br /> Sample <br /> Sample No Containers,Vol,# Analysis Preservative Lab Comments <br /> 2 0 <br /> Kai o <br /> Other Notes <br />