Laserfiche WebLink
BLL. Ef Emironmenial Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North"third M enue <br /> Phoenix,Arizona S003 Well Nor/I tA) <br /> 602 729 0707 " l <br /> Well Type ■ Monitor ❑ Remedial -VE AS <br /> )ite ID U-Haul #709-50 <br /> ❑ Other <br /> Project No 002-70950-03 Well Material ■ PVC ❑ St Steel <br /> Recorded By B McDaniel ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date -� -c�2_ Purge Method <br /> Casing Diameter(D)in inches to <br /> } Baiier-Type /S <br /> -Frith ❑ 4-inch ❑ 6-inch L] Other ❑ Submersible ❑ Whale <br /> Total Depth of Casing(TD in feet BTOC) Other <br /> Water Level Depth(WL in feet BTOC) . _- <br /> Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> 3 El 4 [:15 ❑ Other ❑ Near Bottom ❑ Near Top El Other <br /> Depth in feet(8TOC) <br /> Purge Volume Calulatfon Screen Interval in Feet(STOC) from <br /> L ,S — j-O. z X � x 0 0409 = � � J� to <br /> TD(Feet) WL(feet) D(inches} #Vols gallons <br /> Calculated Purge Volume <br /> Pump Time Purge Rate lActual Purge Volume <br /> ;� Z' <br /> Start.�� Stop Time Elapsed Iridial qpm gallons <br /> Field Parameter Measurements Final qpm <br /> TimedTime Lapsed Gallons Con1 Cond 2 <br /> Purged (umhostcm) (umhaslcm) Temp Notes <br /> Z (o Z0 Ts 7 <br /> n� � � � G-lJ• O e � #' C � <br /> S0, Z 6) 6.5 z <br /> Observations During Purging(well Condition, Turbidity Color, Odor etc <br /> Purge Water Storage/Disposal []Drum(s) Number ❑ Storni Sewer ❑ Sanitary Sewer <br /> Other <br /> WELL SAMPLING <br /> Sampled BY B McDanielSampling DateSampling Time <br /> Sampling Method I Water Level Before Sampling(in feet BTOC) <br /> Bailer-Type pos ble 6 _ &t- ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> Sample No Containers Vol,# AnalysisPreservative Lab Comments <br /> 2- 624.0 <br /> Other Notes <br />