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' Bl.W 'UEnvironmental Management,Inc GROUNDWATERSAM PLING FORM <br /> 1433 North Third Avenue � �� ' <br /> Phoenix,Arizona $5003 Well No 1� ( <br /> 662-72$-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 ❑ Other <br /> ' WELL PURGING <br /> Purge Volume Purge Date a t) f Purge Method <br /> Casing Diameter(D)in orches � Sailer-Type �- �S lt <br /> 2-inch EJ4-inch (] 6-inch [] Other 0 Submersible ❑ Whale <br /> Total Depth of Casing(TD to feet BTOC) cp�.j ❑ Other <br /> Water Level Depth(WL in feet BTOC) S— Pump Intake Setting <br /> ' Number of Well Volumes(#Vols)to be Purged 57. `'f3 Yjo/o S <br /> [:1 Near Bottom ❑ Near Top L:1 Other <br /> 3 ❑ 4 ❑ 5 ❑ other Depth in feet(BTOC) <br /> ' Purge Volume Calulation Screen Interval in Feet(BTOC) from <br /> s' n, r� 2 to <br /> X X X 04x9 g <br /> allDnS <br /> TO(feet) WL(feel D(inches) #Vols Calculated urge Volume <br /> Pump Time Purge Rate JActual Purge Volume <br /> Start1-1,2-( Stop 1-2--�5 Time Elapsed Initial gpm 1 gallons <br /> ' Field Parameter Measurements Final qpm <br /> Time Time Lapsed Gallons Cond 1 Cond 2 <br /> p Purged (umhoslcm) (umhoslcm) Temp Notes <br /> Z U 1002 <br /> t Observations During Purging(wellCondition Turbidity,Color, Odor,etc ���� -gr <br /> !/U( ELS fltitt�.dt-77 61 <br /> Purge Water StoragelDisposal ❑Drum(s) Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> Other <br /> WELL SAMPLING <br /> sampled 13Y= B McDaniel Isampling Date '7 o/d) Sampling Time Ji fj pC� <br /> ' Sampling Method I Water Level Before Sampling(In feet BTOC) Sj 3 <br /> 0 Batler-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 /> Ask Xltiu- `07L 1 ©k45 C 6 If CL <br /> t, is tc <br /> ' r0therotes <br />