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BLAUEnvironmenta]Management,Inc GROUNDWATER SAMPLING FORM <br /> AT R SAM O M <br /> 1433 North Third Avenue' n y Phoenix,Arizona 85003 Well No 14 [ t 1-1 <br /> 602-728 0707 <br /> . Well Type ■ Monitor © Remedial-VE AS <br /> )ite ID U-Haul #709-50 ❑ Other <br /> ' Project No 002-70950-03 Well Material ■ PVC ❑ St Steel <br /> Recorded By B McDaniel l Other <br /> ' WELL PURGING <br /> Purge Volume JPurge Date JPurge Method <br /> Casing Diameter(D)in inches ❑ Bailer-Type <br /> 2-inch ❑ 4-inch ❑ 6-inch ❑ Other ® Submersible ❑ Whale <br /> Total Depth of Casing(TD in feet BTOC) 13'7 5 ❑ Other 'Z2;'aS"t(_p <br /> Water Level Depth(WL in feet BTOC) 57, 7/ Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged Z.. IR 7 Ii of <br /> 3 [:14 ❑ 5 ❑ Other ❑ Near Bottom ❑ Near Top Other j <br /> Depth in feet(BTOC) IL- 7 S <br /> ' Purge Volume Calulation �7y Screen Interval in Feet(BTOC) from 7� _ � !�. Z 2 to <br /> --�-- X X X 0 0409 = j �.7 gallons <br /> TD(feet) WL(feet) D(inches) #Vols Calculated Purge Volume <br /> IPump Time Purge Rate Actual Purge Volume <br /> Start I7 d'Stop Time Elapsed Initial gpm �]' gallons <br /> ' Field Parameter Measurements Final qpm <br /> Time Time Lapsed Gallons Cond 1 Cond 2 Tem <br /> JOLK6Purges! (umhoslcm) (umhoslcm) p Notes <br /> ►aq Sy 7013 2-3.3 0. U•'f_t� <br /> Pa7 q too 1 zz. d T <br /> Af <br /> Observations During Purging(well Condition,Turbidity,Color, Odor,etc tf���j�'�f� l Z S <br /> w y <br /> Purge Water Storage/Disposal ❑Drum(s) Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> ' Other <br /> WELL SAMPLING <br /> Sampled By _B McDaniel _ Sampling Datea7 /Z d/ Sampling Time 10 <br /> Sampling Method Water Level Before Sampling(in feet BTOC) ft � <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 # Analysis Preservative Lab Comments <br /> AL 11W_ - a7c( gin 145 f2.60a L <br /> ►S" JV4 <br /> Other Notes <br />