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BLA- HEnvironmentalManagement,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well NO <br /> 602-728-0707 <br /> Well Type ■ Monitor El Remedial-VE AS <br /> site ID U-Haul #709-50 D Other <br /> ' Project No 002-70950-03 Well Material ■ PVC ❑ St Steel <br /> Recorded By B McDaniel © Other <br /> WELL PURGING <br /> Purge Volume JPurge Date 1 7/// Q Purge Method <br /> Casing Diameter(D)in inches E3 Bailer-Type <br /> 2-inch [J4-inch [:1 6-inch Other <br /> ' ,F Submersible ❑ Whale <br /> Total Depth of Casing(TD in feet BTOC) 9B.G ❑ Other Zil L"' <br /> Water Level Depth(WL in feet BTOC) 3, LZ Pump Intake Setting <br /> ' Number of Well Volumes(#Vols)to be Purged > , 7/�01 <br /> P3 ❑ 4 ❑ $ El Near Bottom El Near Top [� Other /J <br /> ❑ Other Depth in feet(BTOC) - <br /> ' Purge Volume Calulation Screen Interval in Feet(BTOC) from <br /> -�T Z 2 to <br /> TD(feet) WL(feet) ) X X X 0 0409 = Z 3 gallons <br /> D(inches) #Vois Calculated Purge Volume <br /> Pump Time" Purge Rate Actual Purge Volume <br /> Startf__' 7�top Time Elapsed Initial qpm Z3 gallons <br /> ' Field Parameter Measurements Final gpm <br /> Time Time Lapsed Gallons Cond t Cond 2 P Tem yW( <br /> Purged (umhoslcm) (umhoslcm) Notes <br /> _1641�i�n.d- ✓ <br /> ' ! 3 DZ 0S-5_ ZZ,J <br /> ? , ''q ZD I p9 102- co 92- <br /> z� 2-3 10 2­2 a,5- <br /> 1 <br /> Observations During Purging(well Condition Turbidity Color, Odor, etc <br /> 1 <br /> Purge Water Storage/Disposal ❑Drum(s), Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> t Oilier <br /> WELL SAMPLING <br /> Sampled By B McDaniel Isampling Date 711L Q)l ISampling Time Ia 30 <br /> ' Sampling Method J Water Level Before Sampling(in feet BTOC) f Q /0 Zq <br /> Bader-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 # Analysis Preservative Lab Comments <br /> YYI�1 Z-C-7Ll ✓G► � <br /> 1 <br /> Other Notes � � <br />