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' BLAfU EmlronmentalManagement,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue f �� <br /> Phoenix,Arizona 85003 Well No <br /> 602-728-0707 <br /> ite ID U-Haul #709-50 Well Type ■ Monitor ❑ Rernedlal-VE AS <br /> > © 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 '7/)o/b/ Purge Method <br /> Casing Diameter(D)in inches f9 Sailer-Type <br /> ' 10 2-inch ❑ 4-inch [] 6-inch ❑ Other ❑ Submersible ❑ Whale ^^- <br /> Total Depth of Casing(TD in feet BTOC) *7 U ❑ Other <br /> Water Level Depth(WL in feet BTOC) Jv pump Intake Setting <br /> ' Number of Well Volumes(#Vols)to be Purged <br /> ❑ ❑ <br /> 9 3 ❑ 4 [:15 ❑ Other Near Bottom Near Top ❑ Other <br /> Depth in feet(BTOC) <br /> ' Purge Volume Calulation<_Z Screen Interval in Feet(BTOC) from <br /> r _- / �� 2 to <br /> !1L Tp feelt WL fes" X Z X 3 X 0 0449 = f� � gallons <br /> (feet) (feet) p(inches) #Vols Calculated Purge Volume <br /> Pump Time p Purge Rafe JActual Purge Volume <br /> Start� _ Stop 10 b6 Time Elapsed Initial qpm O galions <br /> ' Field Parameter Measurements Final qpm <br /> Time Time Lapsed Gallons Cond t Cond 2 Tem <br /> ' Purged (umhos/cm) (umhos/cm) P p Notes <br /> 9' 5-7 9' o� 1 � 22,7 0. <br /> 1 <br /> 1 <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 Mo Sampling Time <br /> ' Sampling Method Water Level Before Sampling(in feet BTOC) 8 T <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 /> )f L- <br /> Other Notes tla A 'G(, <br />