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BLA. FfEn%troenue l itifanagement,Inc GROUNDWATER SAMPLING FORM <br /> 1433 Nortlt Third AvNenue <br /> Phoeni-,,Arizona 85003 Well No UJ <br /> 60:725 0707 <br /> I <br /> Ae ID U-Haul #709-50 Well Type ■ Monitor ❑ Remedlal-VE AS <br /> ❑ Other <br /> Project No 002-70950-03 Well Material ■ PVC ❑ St Steel <br /> Recorded By 8 McDaniel ❑ Other <br /> WELL PURGING <br /> Purge VolumePurge Date q �� Purge Method <br /> Casing Diameter(D)in inches <br /> ❑ Bailer-Type <br /> 0 2-inch ❑ 4-inch ❑ 6-inch ❑ Other <br /> Submersible EI Whale <br /> Total Depth of Casing(TD In feet BTOC) ❑ Other 2—" <br /> Water Level Depth (WL in feet STOC) '7 7 P I Z P <br /> Number of Well Volumes(#Vols)to be Purged Pump Intake Setting <br /> 3 ❑ 4 ❑ 5 ❑ Other ❑ Near Bottom ❑ Near Top M Other wy <br /> Depth in feet(BTOC) "]© <br /> Purge Volume Calulabon Screen Interval in Feet(BTOC) from <br /> Z 2 to <br /> TD(feet) wL��re X D(inches) X #vols. X 0 0409 - , �� �' gallons <br /> Calculated Purge volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start I L' � Stop Z` -rime Elapsed CAL�i Initial qpm 15, gallons <br /> Field Parameter Measurements Final qpm <br /> Time Time Lapsed Galion. Cond 1 Cond 2 <br /> Purged (umhoslcm) (umhoslcm) Temp Notes <br /> z flo <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 B McDaniel Sampling Date d ( Sampling Time <br /> Sampling Method Water Level Before Sampling (in feet BTOC) �rg,64 e 40 <br /> S Bailer-Type 3 ft_ Disposable-' ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other <br /> ❑ Other-Type <br /> Sampling Distrlbution Sample Series <br /> Sample No Containers,Voi,# Analysis Preservative tab Comments <br /> A w"r ra"+�qo( <br /> Iv s c>w t 1 <br /> Other Notes 'y' <br />