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BLAES EnvironmeatalManagement,Inc GROUNDWATER SAMPLING FORM <br /> 1333 North Third Avenue / <br /> Phoenix,Arizona 85003 Well No.: i �� I� <br /> 602-729 0707 <br /> Well Type ■ Monitor El VE AS <br /> >Ite [D U-Haul #709-30, Stockton, CA ❑ Other <br /> Prosect No 002-70950-03 Well Material ■ PVC ❑ St Steel <br /> Recorded By B. McDaniel ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date: Purge Method <br /> Casing Diameter(D) in inches Bailer-Type <br /> (�2 inch ❑ 4-inch ❑ 6-inch ❑ Other <br /> ❑ Submersible Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) ❑ Other <br /> Water Level Depth (WL In feet BTOC) Pump Intake Setting <br /> Number of Well Volumes (#Vols) to be Purged M 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 /> /ti -r 2 to <br /> r 700 S (�" 2 2.1 X C- X X 0 0409 = � gallons <br /> 4l TD(feet) WL (feet) J D(Inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start 1 3 �fStop Time Elapsed Initial %um gallons <br /> Field Parameter Measurements Fina! stom <br /> Time Time Lapsed Gallons Purged (uCond I (uCond m) Salinity Temp Notes <br /> mhosG-1 VA <br /> Observations During Purging (well Condition, Turbidity, Color, Odor, etc <br /> Purge Water Storage/Disposal ❑ Drum(s), umbe r El Storm Sewer ❑ Sanitary Sewer <br /> Other/Comments 1 <br /> WELL SAMPLING <br /> Sampled By: 8 McDaniel Sampling Date: 3 pz_ Sampling Time: <br /> Sampling Method Water Level Before Sampling (in feet BTOC) <br /> N Bailer Type 3 ft Disposable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab Type <br /> ❑ Other Other Type <br /> Sampling Distribution Sample Series Quarter;?ee-l-- ��pz <br /> Sample No Containers, Vol, # Analysis Preservative Lab Comments <br /> 2-40ml VOAs 8015 gas HCL Del Mar <br /> 2-40ml VOAs 8260E _HCL Del Mar _ m <br /> 1-1 L Amber 8015 Dsese None Del Mar <br /> Other Notes <br />