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BLAES Ln%ironmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No.• /'{�/J"f/J <br /> it/` S C✓ <br /> 602-728-0707 <br /> Well Type ■ Monitor E-] RemedialVE AS <br /> Site 1D U-Haul # 704-SO Stockton CA 13 Other <br /> Project No_ _ 002-70930-03 Well Material ■ PVC ❑ St Steel <br /> Recorded By 13, McDaniel ❑ Other <br /> II WELL PURGING <br /> Purge Volume Purge Date: I Z //A Purge Method <br /> Casing Diameter(D) In inches ❑ Bailer Type <br /> (P 2 inch ❑ 4 inch ❑ 6 inch ❑ Other Submersible <br /> Total Depth of Casing(TD to Feet BTOC) E ❑ Other ZP z-` {✓`Gi"`c� <br /> Water Level Depth (WL to Feet BTOC) Pump Intake Setting <br /> Number of Well Volumes (#Vols) to be Purged ,��/7 <br /> 3 11 4 EI 5 ❑ Other �' - �° i ❑ Near Top Other 11/10s'f��� <br /> Depth to feet (BTOC) 7S- <br /> Purge Volume Calulation Screen Interval to Feet(BTOC) from <br /> r l 2 to <br /> X X X 0 0409 = 16 <br /> TD(feet) WL( D(inches) #Vols <br /> Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start .11 J: Stop Lf <"s' Time Elansed `�' Initial Qpm <br /> ]� 5' gallons <br /> Field Parameter Measurements Final enm <br /> Time Time Lapsed Gallons Purged Cond I Cond 2 Salinity Temp Notes <br /> (umhos/cm) (umhos/cm) <br /> c <br /> V y Afe .� <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 �1rv,� _ <br /> WELL SAMPLING <br /> Sampled By: B McDaniel Sampling Date: ��-��/G7 Sampling Time: 4�' 2--.:) <br /> ;Sampling Method Water Level Before Sampling (In feet BTOC) `> z ca 5 j'Y <br /> E Bailer-Type 3 ft Disposable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab Type <br /> [I 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 /> 2-40m] VOAs 82h613 HCL Del Mar <br /> 1-1 L Amber 8015 Dlese None Del Mar <br /> Other Notes <br />