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B[ .�EfEnvironmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> ' Phocnix,Arrzana 85003 Well No <br /> 602-728-0707 <br /> Well Type ■ Monitor ❑ Remedial-VB AS <br /> .rte fD U-Haul #709;50 ❑ Other <br /> ' Pro]ect No 002-70950-03 Well Material ■ PVC ❑ St Steel <br /> Recorded By B McDaniel ❑ Other <br /> ' WELL PURGING <br /> Purge Volume Purge Date 7111_1oI Purge Method <br /> Casing Diameter(D)in inches ❑ Sailer-Type <br /> ❑ 2-inch ❑ 4-inch [] 6-inch ❑ Other EPSubmersible- ❑ Whale <br /> Total Depth of Casing(TD in feet BTOC) _ k, ❑ Other �? <br /> Water Level Depth (WL in feet BTOC) _ S Z d <br /> Pump Intake Setting <br /> ' Number of Well Volumes(#Vols)to be Purged -op <br /> ja <br /> Near Bottom ❑ Near Top El Other <br /> EX3 El4 El ❑ il 07 Other Depth in feet(BTOC) <br /> ' Purge Volume Calulabon Screen Interval in Feet(BTOC) from <br /> 2 to <br /> fIL Z�o e7 3 gallons <br /> Z . x Z x x o o4os = 1 � . � <br /> TD(feet) WL(feet) D(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Ra jActual Purge Volume <br /> Start I I-17 Stop Time Elapsed Initial qpm gallons <br /> Field Parameter Measurements Final_ Qpm <br /> Time Time Lapsed Gallons Cond 1 Cond 2 <br /> ' p Purged (umhoslcm) (umhos/cm) Temp qtr' Notes <br /> 11 Iq 2`Uo r,D 832- —57-3-1 ZZ.4 D,5- <br /> 1 20' ZO 3- o � �S 9 I ZfOL 2. 3 ,� PT-0 r<:57 <br /> 2 _Z <br /> i <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= ^B McDaniel Sampling Date 7 f L ,OSampling Time 9 YO <br /> Sampling Method Water Level Before Sampling(in feet BTOC) ,Z , `U 43 41 <br /> N Bailer-Type 3 ft Disposable ❑ Same as Above <br /> i ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> ' Sample No Containers Val,# Analysis Preservative Lab Comments <br /> !<I�lki- - ?C 1 V' ZEe S Ffi L <br /> a, t� tr L GSr Ji'l /lri <br />� 1 <br /> ' Other Notes <br />