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BI.A. E Environmental Management,me GROUNDWATER SAMPLING FORM <br /> 1433 North Third Atienue <br /> Phoenil,Arizona 86003 Well No <br /> 602 r� <br /> 602 728 0707 <br /> ,Ite ID U-Haul #709-50 Well Type 10Monitor ❑ Remedial -VE AS <br /> Project No_ 002-70950-03 E:1 Other <br /> Well Material ■ PVC 1:1 St Steel <br /> Recorded By B McDaniel <br /> ❑ Other <br /> WELL PURGING <br /> Purge Volume Eurg7eD=ate z��l Purge Method <br /> Casing Diameter(D)in inches <br /> ❑ Bailer-Type <br /> M 2-inch ❑ 4-inch ❑ 6-Inch ❑ Other <br /> ❑ Submersible ❑ Whale <br /> Total Depth of Casing(TD in feet$TOC) ❑ Other <br /> Water Level Depth (WL in feet BTOC) l;g- c' <br /> Number of Well Volumes(#Vols)to be Purged Pump Intake Setting <br /> 3 El 4 [1 5 1:1 Other ❑ Near Bottom ❑ Near Top ❑ Other <br /> Depth in feet(BTOC) <br /> Purge Volume Calulatlon Screen Interval in Feet(STOC) from <br /> r_77— - -6 -1 X 2 z j to <br /> `` 7D(feet) WL(feet) J X X 0 0409 = 7. O gallons <br /> D(inches) #Vols Calculated Purge Volume <br /> Pump Time 1� Purge Rate Actual Purge Volume <br /> Start ',�' Stap Time Elapsed 1 <br /> Initial qpm <br /> Q gallons <br /> Field Parameter Measurements Final qpm <br /> Time Time Lapsed Gallons Cond 1 Cond =2T.mp <br /> Purged (umhoslcm) (umhoskNotes <br /> It 76 <br /> Observations During Purging(well Condition Turbidity Color, Odor,etc <br /> Purge Water Storage/Disposal [ Drum(s), NumberSewer Storm <br /> ❑ ❑ Sanitary Sower <br /> Other <br /> WELL SAMPLING <br /> Sampled By 8 McDaniel Sampling Date z v! Sampling Time 3:� <br /> Sampling Method Water Level Before Sampling (in feet BTOC) <br /> s Bailer-Type 3 ft Disposable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Serres <br /> Sample No Containers,Vol # + Analysis Preservative Lab Comments <br /> I <br /> h <br /> I I I <br /> Other Notes <br />