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BLAES EnnronmentalManagement,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue n <br /> Phoemx,Anzona 85003 Well No.: ) L���,I� J �a <br /> 602 728 0707 <br /> Well Type ■ Monitor © Remedial - VE AS <br /> ilte !D U-Haul #709-50 Stockton CA ❑ Other <br /> Project No 002-70950-D3 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 ❑ Bader Type <br /> ❑ 2 inch ❑ 4 inch ❑ 6 inch ❑ Other Submersible <br /> Total Depth of Casing(TD in Feet BTOC) 7 5 ❑ Other L .- <br /> Water Level Depth (WL in Feet BTOC) 777T. 2- ? Pump Intake Setting <br /> Number of Well Volumes (#Vols) to be Purged <br /> � Near Bottom El Near Top � OtherF=- <br /> ■ 3 ❑ 4 ❑ 5 ❑ Other Depth in feet (BTOC) 't- C-`51- _ <br /> Purge Volume Calulation Screen Interval in Feet (BTOC) from <br /> 5-,'l <br /> — z? 2 s 24 v 2 to <br /> X � X � X 0 0409 = � � gallons <br /> TD{feet) WL(feet) D (inches) #Vols Calculated Pure Volume <br /> e <br /> Pump Time Purge Rate Actual Purge1 Volume <br /> Start �$'Stoo Time Elapsed Initial Qpm ! Z all n <br /> g o s <br /> Field Parameter Measurements Final tom <br /> 1 Time Time Lapsed Gallons Purged Cond(umbos/cI (umbos/m) Salinity Temp J Notes <br /> J Z 1-t C T i ZC� ('e[ : �y c -�I•c2trZJ ',j_ <br /> z-, It .}- <br /> �% rZ- <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 <br /> WELL SAMPLING <br /> Sampled By: B McDaniel Sampling Date: I zL Sampling Time: <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 Fourth Quarter 2001 <br /> Sample No Containers, Vol, # Analysis Preservative Lab Comments <br /> 2-40mi VOAs 8015 gas HCL Del Mar <br /> 2-40-ml VOAs 8260B HCL Dei Mar <br /> 1-1 L Amber 8015 Diese None Del Mar <br /> Other Notes <br />