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BLAu EnilronmentaliINIanagement,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Arenue <br /> PhocniN,Arizona 53003 Wel] NO <br /> 60?723 0707 <br /> )Ite ID U-Haul #709-50 Well Type IN Monitor ❑ Remedial -VE AS <br /> Pro ect No ❑ Other <br /> 1 002..70950-03 Welt Material ■ PVC ❑ St Steel <br /> Recorded 8y B I cDanlel <br /> ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date `Y�zj-14'( Purge Method <br /> Casing Diameter(D)in inches <br /> 2-inch EJ Bailer-Type <br /> ❑ � 4-inch ❑ 6-inch Other <br /> Total Depth of Casing (TO in feet STOC) Submersible El Whale <br /> ❑ Other <br /> Water Level Depth(WL in feet BTOC) j 7 �� Z,5- <br /> Number of Well Volumes(#Vols) to be Purged Pump Intake Setting <br /> V] 3 ❑ 4 ❑ 5 ❑ Other E[11 Near Bottom Near Top ❑ Other <br /> Depth in feet(BTOC) T17 <br /> Purge Volume Catulatton Screen Interval in Feet(BTOC) from <br /> 5_ 6 y <br /> l Tb{feel} WL(F� X Q Q4Qg to <br /> ~� X — — X 3j <br /> D(inches) #Vais gallons <br /> Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start Stop -qL — <br /> Time!;lapsed Initial Qpm <br /> D gallons <br /> Field Parameter Measurements Final qpm <br /> Time lime Lapsed Gallons Cond 1 Cand 2 <br /> Purged (umhos/cm) (umhoslcm) Temp Notes <br /> Clc� l C:� 03v I lc--% 2-1. Z d,b <br /> a <br /> 3 /0:3/ t oto z i <br /> J !l b q0 (3-S-!> ! or ZI•`7 49.6 IV y <br /> Observations During Purging (well Condition, Turbidity,Color, Odor, etc <br /> Purge Water Storage/Disposal ❑Drum(s), Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> Other 119UO Csl f� � <br /> WELL SAMPLING <br /> Sampled By B McDaniel Sampling Date 9 Z� o i Sampling Time 3 <br /> Sampling Method Water Level Before Sampling (in feet BTOC) � <br /> S Bailer-Type _ 3 ft Dis�OSable ❑ Same as Above <br /> ❑ Submersible ❑ Whale <br /> C1 Other ❑ Grab-Type <br /> ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> Sample No Containers Vol # Analysis Preservative Lb <br /> Oq?C a <br /> i r L Comments <br /> Other Notes <br />