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BLAE1 EnirronmentalManngement,Inc <br /> 1433 North Menue <br /> Phoenix,Arizona 95003 Well NGU��N�DWArT <br /> ER SAMPL[NG FORM <br /> 602 723 0707 <br /> )Ite ID U-Haul #709-50 Well Type ■ Mon:tar El Remedtal-VE AS <br /> El Other <br /> Project No 002-70950-03 Wel!Material ■ PVC ❑ S# Steel <br /> Recorded By B McDaniel ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date ZpPurge Method <br /> Casing Diameter(D)in inches <br /> ❑ Bailer-Type <br /> Pq 2-inch El 4-inch ❑ 6-rnch ❑ Other <br /> ❑ Submersible El Whale <br /> Total Depth of Casing(TD in feet$TOC) S' ❑ Other <br /> Water Level Depth (WL in feet BTOC) 0 J7 <br /> Number of Well Volumes(#Vols)to be Purged Pump Intake Setting <br /> ❑ <br /> 3 ❑ 4 1:15 ❑ Other Near Bottom [I Near Top El Other <br /> Depth in feet(BTOC) <br /> PurgeVolumeCalulation Screen Interval in Feet(STOC) from <br /> r GL �—T_ Z� Z Z to <br /> l\ TO(feet} WL(feet) X X X Q Q4Q9 = gallons <br /> (inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start! 131 Stop _L�Z-2-`Time Elapsed fnitlal qpm zQ gallons <br /> Field Parameter Measurements Final qpm <br /> Time Time Lapsed Gallons Cond 1 Cond 2 <br /> Purged (umhosicm) (umhoslcm} Temp off Notes <br /> I �L Z`fb(S <br /> Z` $dam <br /> C. <br /> Z f b r <br /> 10, zo 14, 4. 3 Zz> <br /> 10:z z-a W7 - <br /> Observations During Purging(well Condition Turbidity,Color, Odor etc <br /> Purge Water Storage/Disposal ❑Drum(s), Number Storm Sewer ❑ Sanitary Sewer <br /> Other <br /> WELL SAMPLING <br /> Sampled By 7 B_McDaniel Sampling Date_ `��Z at' Sampling Time 10 <br /> Sampling Method Water Level Before Sampling(in feet BTOC) 7•��l Q� '�C3 <br /> ® Bailer-Type 3 ft Di5 osable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other <br /> ❑ Other-Type <br /> Sampling Dlstrlbutlon Sample Series <br /> Sample No Containers Vol # Analysis Preservative Lab Comments <br /> Other Notes <br />