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B��Lntitronmental llans;emcnt,inc GROUNDWATER SAMPLING FORM <br /> t�33 Norrie Third'+,NPnue J <br /> ISPhoenix, 8x003 Well NO <br /> 60?728 0707 <br /> >ite ID U-Haut #709-50 Well Type ■ Monitor ❑ Reme6al-VE AS <br /> Project No ❑ Other <br /> 1 002-70950-03 <br /> Recorded BY--a McDaniel Well Material ■ PVC ❑ St Steel <br /> 0 Other <br /> WELL PURGING <br /> rp <br /> lume Purge Date 1 { Purge Method <br /> eter(D)in inches <br /> ❑ Bader-Type <br /> ❑ 4-inch C] 6-inch ❑ Other <br /> Submersible 7 ❑ Whale <br /> of Casing(TD in feet BTOC) .L. ❑ Other L, Z <br /> Depth(WL in feet BTOC) <br /> ell Volumes(#Vols)to be Purged Pump Intake Setting <br /> ❑ 5 [I Other ❑ Near Bottom ❑ Near Top 70 Othelh & <br /> Depth in feet($TOC) 2„ <br /> Purge Volume Catulation Screen Interval in Feet(BTOC) from <br /> Io <br /> TD(feet} w1{nett X X X 0 0489 = r/ _ gallons <br /> D(ruches} #Vols <br /> Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start Stop —` Sl Time Elapsed 7 oo Initial gprn <br /> 7 gallons <br /> Field Parameter Measurements Final qpm <br /> rime Time Lapsed Gallons Cond 1 Cond 2 <br /> Purged (umhoslcm) (umhoslcm) Temp pH Notes <br /> lib 11 Z' ZI..c, b.i�- <br /> 8 <br /> Z 2-1 + e, <br /> Observations During Purging(well Condition Turbidity Calor Odor,etc <br /> Purge Water Storage/Disposal ❑Drum(s), Number E] Storm Sewer ❑ Sanitary Sewer <br /> Other <br /> WELL SAMPLING <br /> Sampled By I E3 McDaniel Sampling Date 4 r-6 Q Sampling�a7tL4f <br /> Sampling Method Water Level Before Sampling (in feet BTOC) 7 <br /> S Bailer-Type 3f Disposable ❑ Same as Above <br /> ❑ Submersible ❑ Whale <br /> ❑ Other El Grab-Type <br /> ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> Sample No Containers, Vol,n I Analysis Preservative Lab Comments <br /> b1r r <br /> Other Notes <br />