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BLAES Friwonmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue 4I <br /> Phoenix,Arizona 85003 Well No.: rn IJ !r <br /> 602 728-0707 <br /> Well Type ■ Monitor ❑ Remedial - VE AS <br /> ilte ID U-Haul #709-50 Stockton CA I] Other <br /> Project Na 002-70950-03 Well Material ■ PVC Cl St Steel <br /> Recorded By_ _B. McDanigl ❑ 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 g Submersible ubmewe 09"'" <br /> Total Depth of Casing(TD in feet BTOC) 1"y 7 ❑ Other 2- <br /> Water Level Depth (WL in feet BTOC) �-r2 . `t rte_ Pump Intake Setting / <br /> Number of Well Volumes (#Vols) to be Purged v., 19.E"o�y 1:1 Near Top ® Other ✓11 �61/1(1 <br /> 0 3 ❑ 4 ❑ 5 ❑ Other Depth in feet (BTOC) "- C:C �- '�- <br /> Purge Volume Calulapon Screen Interval in Feet (BTOC) from <br /> 2 to <br /> Z X Z X s X 0 0409 = Z �C gallons <br /> WL(feet} llJ D (orches} fi Vols Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start 12 `11- Ston Time Elapsed Initial gpm gallons <br /> Field Parameter Measurements Final mm <br /> Time Time Lapsed Gallons Purged Cond I Cond 2 salinity Temp Notes <br /> (unihos/cm) (umbos/cm) <br /> e,)r Z �� �%, � `Z� `7 <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: 1 241 1 C 1 Sampling Time: S 4 <br /> Sampling Method Water Level Before Sampling(in feet BTOC) <,--2 '-1 S-0 <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 /> 2-40ml VOAs 8015 gas HCL Del Mar <br /> 2-40ml VOAs 8260B HCL Del Mar <br /> 1-1 L Amber 8015 Dlese None Del Mar <br /> Other Notes <br />