Laserfiche WebLink
BLAU EnvironmentalhIanagement,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third A%enue 11 <br /> Phoenix,Arizona 85003 Well No � V — 1 <br /> 1 <br /> 602-728-0707 <br /> Well Type ■ Monitor ❑ Remedial -VE AS <br /> Wite ID U-Haul #709-50 <br /> ❑ Other <br /> Project No 002-70950-03 <br /> Well Material ■ PVC ❑ St Steel <br /> Recorded By B McDaniel ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date 3/sem �Z Purge Method <br /> �. <br /> Casing Diameter(D)in inches ® Bailer-Type <br /> P02-inch E] 4-inch ❑ 6-inch E] Other <br /> ❑ Submersible ❑ Whale <br /> Total Depth of Casing (TD in feet BTOC) . 7 ❑ Other <br /> Water Level Depth(WL in feet BTOC) <br /> Number of Well Volumes(#Vols)to be Purged Pump Intake Setting <br /> 3 ❑ 4 ❑ 5 ❑ Other ❑ Near Bottom ❑ Near Top ❑ Other <br /> Depth in feet(BTOC) <br /> Purge Volume Caluiation Screen Interval in Feet(BTOC) from <br /> / _ K2 Z� to <br /> TA(feet WL(feet) X X X 0 0409 = gallons <br /> D(inches) #Vols Calculated Purge Volume <br /> Pump Time JPurge Rate Actual Purge Volume <br /> Start 1 042 Stop Time Elapsed Initial qpm gallons <br /> Field Parameter Measurements Final qpm <br /> Time Time Lapsed Gallons Cond 1 Cond 2 <br /> Purged (urnhoslcm) (umhoslcm) Temp br Notes <br /> 5s3-z- 9/0 <br /> za o �! <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 <br /> Sampled By I B McDa_nlel Sampling Date (,moo z. Sampling Ttme /� Zp <br /> Sampling Method Water Level Before Sampling (in feet BTOC) <br /> Bailer-Type __3 ft Disposable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distril3ution sample Series <br /> Sample No Containers,Vol # Analysis Preservative Lab Comments <br /> '- LIQ Y�S <br /> Other Notes <br />