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' _BL* EI EnlirOnmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third A%enue <br /> Phoenix'' Arizona 85003 Well No Z L�60z-7z8-0707 <br /> Well Type ■ Monitor 0 Remedial-VE AS <br /> >ite ID-U-Haul #709-50 11Other <br /> ' Protect Na 002-70950-03 Well Material ■ PVC 0 St Steel <br /> Recorded By B McDaniel ❑ Other <br /> ' L WELL PURGING <br /> Purge Volume Purge Date 7 1-016( Purge Method <br /> Casing Diameter(D)in inches Bailer-Type <br /> IN 2-inch [] 4-inch ❑ 6-inch ❑ Other <br /> ❑ Submersible ❑ Whale <br /> Total Depth of Casing (TD in feet BTOC) 7 ❑ Other <br /> Water Level Depth(WL in feet BTOC) rZ 70 Pump Intake Setting <br /> ' Number of Well Volumes(#Vols)to be Purged L 7/ja/C1� <br /> 3 ❑ 4 ❑ 5 ❑ Other ❑ Near Bottom ❑ Near Top ❑ Other <br /> Depth in feet(BTOC) <br /> ' Purge Volume Calulatton Screen Interval in Feet(BTOC) from <br /> � 2 to <br /> 7 —S-2, gallons <br /> TO(feet) WL(feet) X D(inches) X #Vols X d4dg Calculated Purge g <br /> ' Pump Time Purge Rate JActual Purge Volume <br /> Start 13'_3-2 Stop Time Elapsed Initial ppm Z gallons <br /> ' Field Parameter Measurements Final ppm <br /> Time Time Lapsed Gallons Cond 1 Cond 2 <br /> p Purged (umhoslcm) (umhoslcm) Temp Notes <br /> 7 5- 13 <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 8 McDaniel Isampling Date Y /Oa J Sampling Time P 5a <br /> Sampling Method Water Level Before Sampling(in feet BTOC) 2 g <br /> Sailer-Type 3 ft Disposable_ ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> 1Sample No Containers Vol ,# Analysis Preservative Lab Comments <br /> 11 !r tr j L 2✓` /' !yi ��h � <br /> 1 <br /> Other Notes <br />