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BLAES Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> !�� i <br /> Phoenix,Aruona SS003 Well No.: r'1 tJ L <br /> . 502-728-0707 - <br /> Well Type ■ Monitor 0 Remedial - VE AS <br /> Site ID U-Haul #709-50 Stockton CA ❑ Other <br /> Prosect No 002-70950-03 Well Material ■ PVC ❑ Sc Steel <br /> Recorded By B D ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date: I "—/I)/C 1 Purge Method <br /> Casing Diameter(D) in inches ❑ Bailer Type <br /> ❑ 2 inch ❑ 4 inch ❑ 6 inch [] Other Submersible 1* fe le— <br /> Total Depth of Casing(TD in feet BTOC) `� O Other 2-1;1Z w <br /> Water Level Depth (WL in feet BTOC) `> Pump Intake Setting <br /> !*lumber of Well Volumes (#Vols) to be Purged <br /> ZI—Near-Bestoaa 91 Near Top © Other <br /> 0 3 ❑ 4 ❑ 5 ❑ Other Depth in feet (BTOC) I 9�k ZC <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 7� <br /> to <br /> ) X � X � X 0 0409 = Z 7,� gallons <br /> TD (fee[} WL (feet! D (inches} #Vols Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start y 7 Stop -Cr l Time Elaosed Initial If Qum Z gallons <br /> Field Parameter Measurements Final 416 s;um <br /> Time Time Lapsed Gallons Purged Cond(umhos/I (uCond 2t) Sahmty Temp Notes <br /> c, >- Y <br /> vii ZS' `7L1 r'LC f �_ 2L � <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 ��a��/rcr�,�- - _ <br /> WELL SAMPLING <br /> Sampled By: B McDaniel Sampling Date: jL Sampling Time: <br /> Sampling Method Water Level Before Sampling (in feet BTOC) S 7 L q 7 <br /> * Bader-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, # Analysts Preservative Lab Comments <br /> 2-40ml VOAs 8015 gas HCL Del Mar <br /> 2-40m1 VOAs 82608 cul l y' HCL Del Mar <br /> _ n 1 1-1 L Amber 8015 Dlese None Del Mar <br /> Other Notes <br />