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BL.1E EnNironmenialManagement,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third A%enue g <br /> Phocnn,Arizonn 85003 Well No <br /> 102 1211111 <br /> ,ite 10 U-Haul #709-50 Wel! Type ■ Monitor ❑ Remedial -VE AS <br /> ❑ Other <br /> Project No 002-70950-03 Well Material ■ PVC ❑ St Steel <br /> Recorded By B McDaniel ❑ Other <br /> WELL PURGING <br /> Purge VolumePurge Date px Purge Method <br /> Casing Diameter(D)in inches -� <br /> El Bailer-Type <br /> 0 2-inch ❑ 4-inch ❑ 6-inch ❑ Other <br /> ® Submersible EJ Whale <br /> Total Depth of Casing(TO in feet BTOC) ❑ Other h <br /> Water Level Depth(WL in feet$TOC) �` , <br /> Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> 19 3 El 4 El 5 11 Other ❑ Near Bottom [I Near Tap ® Other <br /> Depth in feet(BTOC) ^- 74? <br /> Purge Volume Calulahon Screen Interval in Feet(BTOC) from <br /> 2 to <br /> TD(feet) WL(t�� X p(,n— �e5) _ X #vo1s X 0 0409 = �� gallons <br /> Calculated Purge Volume <br /> Pump Time Purge Rate Actua! Purge Volume <br /> Start Stop l6` 0 Time Elapsed _t > Initial qpm ZIC-) gallons <br /> Field Parameter Measurements Final qpm <br /> Time Time Lapsed Gallons Cond 1 Cond 2 <br /> Purged (umhoslcm) (umhoslcm) Temp { Notes <br /> 40 2- /1.)1- — <br /> S Ric e 7 <br /> l�- 1070 <br /> Observations During Purging(well Condition Turbidity,Color Odor etc <br /> Purge Water Storage/Disposals <br /> ❑Drum(s), Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> Other <br /> WELL SAMPLING <br /> Sampled By B McDaniel Sampling Date Sampling Time <br /> Sampling Method Water Level Before Sampling(in feet BTOC) <br /> Bailer-Type 3 ft Disposable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution :-] Sample Series <br /> IdML Sample No Containers Vol # Analysis Preservative Lab Comments <br /> I <br /> Other Notes <br />