Laserfiche WebLink
B[A* Ef Ln,ironmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1-433',orthlWird �,enue f <br /> 'hocni% krrzona 85003 well NO / <br /> 32-728-0707 <br /> Well Type ■ Monitor 1:1Remeclzal -VE AS <br /> lte Ib U-Haul #709-50 ❑ Other <br /> Pro}ect No 002-70950-03 Well Material i PVC ❑ St Steel <br /> Recorded By. M Hilstrom ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date Purge Method <br /> Casing Diameter(D)in inches <br /> El Bailer Type <br /> ❑ 2-inch ❑ 4-inch ❑ 6 inch ❑ Other ❑ Submersible ❑ Whale <br /> Total Depth of Casing(TD in feet BTOC) _ -7 ) ❑ Other <br /> Water Level Depth(WL in feet BTOC) 14 Pump Intake Setting I <br /> Number of Well Volumes(#Vols)to be Purged S <br /> ❑ 3 ❑ 4 1:15 ❑ Other ❑ Near Bottom ❑ Near Top ❑ Other <br /> Depth in feet(BTOC) <br /> Purge Volume Caluiauon Screen Interval in Feet(BTOC) from <br /> L) <br /> TD(feet) WL(feet) X D(inches} X #Vols D to <br /> X 0 a4Q9 Calculated Purgeme olgallons <br /> Pump Time jPurge Rate _ I JActual Purge Volume <br /> Start _) ) � S Stop i ALO 75 Time Elapsed Initial qpm gallons <br /> Field Parameter Measurements I Final qpm <br /> Time Time Lapsed GallonsF(unnhoslcm) <br /> Coad i Cond 2 Tem <br /> Purged (umhoslcm} p Notes <br /> i I . zS �ZcB <br /> Observations During Purging(well Condition, Turbidity Color Odor etc <br /> Purge Water Storage/Disposal ❑Drum(s) Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> Other <br /> WELL SAMPLING I <br /> Sampled By M HilstromSampling Date _ula Z Sampling Timejp ; <br /> Sampling Method Water Level Before Sampling(in feet BTOC) A-Ilk <br /> Bailer-Type 3 tt Disposable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> Sample No Containers Vol # Anaiysls Preservative Lala Comments <br /> mtv I I L p <br /> 2— <br /> cJJ IS er <br /> ill <br /> Other Notes <br />