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SLAES Environmental Management,[Inc GROUNDWATER SAMPLING FORM <br /> North Third Avenue <br /> Phoenix, <br /> Phoenix,Arczona 85003 Well No.: <br /> 602 726-0707 <br /> Well Type ■ Monitor Remedial V1= AS <br /> • ite ID U-Haul #709-50 StockCon CA El <br /> Other <br /> Proiect No 002-70950-03 Well Material ■ PVC ❑ St Steel <br /> Recorded By McDaniel © Other <br /> WELL PURGING <br /> Purge Volume Purge Date: 3 S 2-- Purge Method <br /> Casing Diameter(D) in inches X Bailer-Type <br /> C� <br /> W 2 Inch ❑ 4 inch ❑ 6-inch ❑ Other <br /> ❑ Submersible Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) -7/ - ❑ Other <br /> Water Level Depth (WL in feet BTOC) y Pump Intake Setting NA <br /> Number of Well Volumes(# Vols) to be Purged E Near Bottom ❑ Near Top ❑ Other <br /> ■ 3 ❑ 4 ❑ 5 ❑ Other Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet (BTOC) from <br /> l 2 to <br /> �—�— J X Z X X 0 0409 = It- gallons <br /> TD (feet) WL(feet) D(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start 10 1-7 Stop X) SSf Time Elapsed is Initial Brom t Z <br /> gallons <br /> Field Parameter Measurements Final eom <br /> Time Time Lapsed Gallons Purged Cond I Cond 2 Salinity Temp / Notes <br /> (umhos/cm) (umhos/cm) Y <br /> Observations During Purging(well Condition, Turbidity, Color, Odor, etc <br /> Purge Water Storage/Disposal ❑ Drum(s), Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> Other/Comments _Acr�+-� <br /> WELL SAMPLING <br /> Sampled By: B McDaniel Sampling Date: '31616 z- Sampling Time: 6? 5'<- <br /> Sampling Method Water Level Before Sampling (in feet BTOC) <br /> E Bailer Type 3 ft Disposable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab Type <br /> ❑ Other ❑ Other Type <br /> Sampling Distribution Sample Series Fourth Quarter 2001 <br /> Sample No Containers, Vol, # Analysis Preservative Lab Comments <br /> Nr1►tl - 5- 2-40m1 VOAs8015 gas HCL Del Mar <br /> 2-40m1 VOAS 8260B HCL Del Mar <br /> 1-I L Amber 8015 Diese None Dei Mar <br /> Other Notes <br />