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BL A* EfLmironmentalNianagement,Inc GROUNDWATER SAMPLING FORM <br /> 1.03 North Tlurd Avenue <br /> Phoenv%,Ar1zona 85003 Well No <br /> fi02 728 0707 <br /> ,Ite ID U-Haul #709-50 Well Type ■ Monitor El Remedial -VE AS <br /> Project No 002-70950-03 0 Other <br /> Well Material ■ PVC 1:1 St Steel <br /> Recorded By B McDaniel <br /> El Other <br /> WELL PURGING <br /> Purge Volume Purge Date 9 J Purge Method <br /> Casing Diameter(D)In inches r <br /> © Bader-Type <br /> Vq 2-inch ❑ 4-inch ❑ 6-inch ❑ Other <br /> ❑ Submersible ❑ Whale <br /> Total Depth of Casing(TD in feet BTOC) ❑ Other <br /> Water Level Depth (WL in feet BTOC) <br /> Number of Well Volumes{#Vols}to 6e Purged Rump Intake Setting <br /> ❑ <br /> 3 El 4 [:] 5 ❑ Other Near Bottom F-1 Near Top El Other <br /> Depth in feet(BTOC) <br /> Purge Volume Calulation Screen interval in Feet(STOC) from <br /> S7 X �. 2 x f to <br /> Td(feet) WL(feet) X 0 0409 = bgallons <br /> D(inches) #Vols Calculated Purge Volume <br /> Pump Time Pur a Rate <br /> r � 9 Actual Purge Volume <br /> ; <br /> Start 7"L L) Stop lIS 2—Time Elapsed J-� _ Initial <br /> qpm gallons <br /> Field Parameter Measurements Final Qpm <br /> Time Time Lapsed Gallons Cond 1 Cond 2 <br /> Purged (umhos/cm) (umhos/cm) Temp pH Notes <br /> 1 � 3 "f 111 0,5- Z2­5 <br /> Observations During Purging(well Condition Turbidity Color Odor,etc <br /> Purge Water Storage/Disposal ❑Drum(s),Number — <br /> Storm Sewer <br /> ❑ ❑Sanitary Sewer <br /> Other l� � <br /> WELL SAMPLING <br /> Sampled E3y7 B McDaniel Sampling Date L3 Z.57— n Sampling Time Sys <br /> Sampling Method Water Level Before Sampling (in feet BTOC) 1,6t <br /> N Sailer-Type 3 ft Disposable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> Sample No T, Containers,Vol # Analysis Preservative Lab Comments <br /> Other Notes <br />