Laserfiche WebLink
B[A# EfEmironmentalManagement,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third At enue <br /> Phoenix,Arizona 85003 Well Norri I C <br /> 602 738 0707 <br /> Well Type ■ Monitor EJ Remedial -VE AS <br /> ite ID U-Haul #709-50 ❑ Other <br /> Project No 002-70950-03 Well Material ■ PVC ❑ St Steel <br /> Recorded By B McDaniel ❑ Other <br /> 1. WELL PURGING <br /> Purge VolumePurge DatePurge Method <br /> Jr � <br /> Casing Diameter(D)in inches Bailer-7 e , <br /> YP 5 k <br /> _�__. <br /> ® 2-Inch ❑ 4-inch ❑ 6-inch ❑ Other ❑ Submersible ❑ Whale <br /> Total Depth of Casing(TD in feet BTOC) Other <br /> Water Level Depth(WL in feet BTOC) 2- pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> �] 3 El 4 ❑ 5 El Other ❑ Near Bottom El Near Top ❑ Other <br /> Depth in feet(STOC) <br /> Purge Volume Caiulatton Screen Interval in Feet(STOC) from <br /> - -�--�-— _ 5 N x r 2 x � x a o�os = -. 1 ! 9 to <br /> (feet) p <br /> D(F'T eet) WI_ inch galians <br /> (inches) Vols Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start Stop Time Elapsed Initial qpm gallons <br /> Field Parameter Measurements Final qpm <br /> Time Time Lapsed Gallons Cond 1 Cond 2 Temp piT Motes <br /> Purged (umhoslcm) {umhoslcm) <br /> l-� ) <br /> 72-7 / 7 3-1 go 1 2-6,6 0 '&t <br /> -736 2,0 3 `zo,S 0.4m�- �,. TI,V <br /> w <br /> Observations During Purging(well Condition Turbidity,Color, Odor,etc <br /> Purge Water Storage/Disposal Drum(s),/Ntumber [J Storm Sewer ❑ Sanitary Sewer <br /> Other ` 61.4/ <br /> WELL SAMPLING <br /> Sampled By B McDaniel �� 6/ Z T Sampling Time <br /> - _.. <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 Distribution Sample Series <br /> Sample No Containers,Vol # Analysis Preservative Lab Comments <br /> LW - L r !� <br /> Z, t!O <br /> ------------------- L <br /> Other Notes <br />