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gLA. FJl;tt%ironmentalAIanagement,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenn,Anzana 35003 Well No <br /> 602 728 0707 <br /> Well Type ■ Monitor ❑ Remedial -VE AS <br /> alte ID U-Haul #709-50 <br /> ❑ Other <br /> Project No 002-70950-03 Well Material ■ PVC ❑ St Steel <br /> Recorded By B McDaniel © Other <br /> WELL, PURGING <br /> Purge Volume Purge Date 2-1 �G ( Purge Method <br /> Casing Diameter(p)in inches <br /> ❑ <br /> ❑ 2-snch 04-inch ❑ 6-inch [:J Other Bailer-Type <br /> Submersible ❑ ftfe <br /> Total Depth of Casing(TD m feet BTOC) ❑ Other <br /> Water Level Depth(WL to feet BTOC) 5-2- 7 2– 3 <br /> Number of Well Volumes (#Vols)to be Purged Pump Intake Setting <br /> R2 3 ❑ 4 ❑ 5 ❑ Other ❑ Near Bottom ❑ Near Top [ Other z� <br /> Depth in feet(STOC) ---I-7C-:, <br /> Purge Volume Caiulation Screen Interval in Feet(BTOC) from <br /> I <br /> to <br /> TD{feet) <br /> X WL(feet) p(inches) X #vols X 0 0409 = IS ,� gallons <br /> Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> L <br /> Start � 5 � Stop /� ,SCJ Time Elapsed Initial qpm gallons <br /> Field Parameter Measurements Final qpm <br /> Time Time Lapsed Gallons coed 1 Cond 2 <br /> Purged (urrihoslcm) (umhos/cm) Temp Notes <br /> 2.L- JCC 7 /I C l <br /> ,fLt w75 r i ;L L, ! 3 11 /2-1 <br /> 2- <br /> t v y 7 <br /> cc ! ' z_=,c. 0 i <br /> Observations During Purging(well Condition Turbidity Calor Odor etc ,� _ ✓�c G'Z��ti— <br /> Purge Water Storage/Disposal ❑Drum(s) Number (] Storm Sewer ❑ Sanitary Sewer <br /> Other Ir <br /> WELL SAMPLING <br /> Sampled By B McDaniel Sampling Date 1 1)/C l Sampling Time I Z 1�: <br /> Sampling Method Water Level Before Sarnphng (in feet BTOC) <br /> Bailer-Type 3 ft Disposable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other <br /> ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> Sample No Containers Vol # Analysis Preservative Lab Comments <br /> C - � 2 r f tic fks �u,c K j-fzt <br /> r! Zi LI <br /> Other Notes <br />