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BLAEfEnvironmental hlanagement,Ine GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenn,Arnzana 95003 Well No <br /> 112-7211717 <br /> Well Type ■ Monitor 11Remedial-VE AS <br /> Site IQ U-Haul #709-50 ❑ Other <br /> Project No 002-70950-03 Well Material ■ PVC ❑ St Steel <br /> Recorded By B McDaniel ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge DatPurge Method <br /> Casing Diameter(D)in inches 9 <br /> Bailer-Type - 3 <br /> ❑ 2-inch ® 4-inch ❑ 6-inch ❑ Other <br /> ❑ Submersible ❑ Whale <br /> Total Depth of Casing(TD in feet BTOC) (Q' l. ❑ Other <br /> Water Level Depth(WL in feet BTOC) �7, / ca $. Z� Pump Intake Setting {� <br /> Number of Well Volumes(#Vols)to be Purged — <br /> ❑ Near Bottom El Near Top ❑ Other- <br /> )9 <br /> 3 ❑ 4 ❑ 6 ❑ Other Depth In feet(BTOC) <br /> Purge Volume Calulation Screen interval in Feet(BTOC) from <br /> 2 to <br /> 5719 it �"/ allons <br /> TD(feet) WL(feet) X D(inches) X #Vols x O �4�1� Calculated`Purge Volume 9 <br /> Pump Time Purge Rate J Actual Purge Volume <br /> Start Q 1W Stop 1.0 Tim,Elapsed Initial qpm gallons <br /> Field Parameter Measurements Final qpm <br /> Time rine Lapsed Gallons Cond 1 Cond 2 <br /> p Purged (urnhos/cm) (umhoslc^i) Temp Notes <br /> '3'6 <br /> /yto Z► . p, -2 <br /> -)A,2- <br /> Observations <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 ime <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 /> Sample No Containers,Vol # Anatysts Preservative Lab Comments <br /> Other Notes <br />