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B IAEA En%ivonmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Thad A%enue <br /> PhOM%,Arizona 85003 Well No —6c, <br /> 602 728 0707 <br /> Well Type ■ Monitor ED Remedial -VE AS <br /> �Ite ID U-Haul #709-5Q 1:1 Other <br /> Protect No 002-70950-03 Well Material ■ PVC ❑ St Steel <br /> Recorded By B McDaniel ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date 3 C2– Purge Method <br /> Casing Diameter(D)in Inches G4 <br /> vA <br /> j 2 Inch E] 4-Inch ❑ 6-inch 0Other 0 Bailer-Type _ X �s <br /> �� ❑ Submersible ❑ Whale <br /> Tota; Depth of Casing(TD in feet BTOC) _ SY ❑ Other <br /> Water Level Depth(WL in feet BTOC) �7D. <br /> Pump Intake Setting ;r <br /> Number of Well Vclumes(#Vols)to be Purged <br /> ❑ <br /> � ❑ 4 [:15 ❑ Other Near Bottom [3 Near Top [:1 Other <br /> 8 <br /> Depth In feet(BTOC) <br /> Purge Volume CaUation Screen Interval in Feet(BTOC) from <br /> , 2 to <br /> To(f� _ WLD t� X p pZ 5) X #v X 0 0409 f _� gallons <br /> Calculated Purge Volume <br /> Pump Time <br /> Time Purge Rate Actual Purge Volume <br /> Start 7 I 0 Stop Time Elapsed initial qpm 1 9 gallons <br /> Field Parameter Measurements Fina! qpm SS__ <br /> Time Time Lapsed Gallons Cond 1 Cond 2 Temp �`p Notes <br /> Purged (umhoslcm) (umhoslcm) <br /> /030 zo <br /> -5- lCzy <br /> 5 <br /> IT <br /> .b <br /> Li DT W S- <br /> Observations During Purging (well Condition Turbidity, Coior, Odor etc <br /> Purge Water Storage/Disposal ❑Drum(s) Number Storm sewer❑ El Sanitary Sewer <br /> Other /fit 4 rw .[ <br /> WELL SAMPLING <br /> Sampled By:::LB McDaniel Sampling Date 6 L Sampling Time /Z G <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 /> 2r +fps i�Cr <br /> dAx <br /> na <br /> Other Notes <br />