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' Btu/.♦JEnvironmentalManagement,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No <br /> ' 602 728-0707 Well Type ■ Monitor ❑ Remedial-VE AS <br /> . Me 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 J Purge Date /o / Purge Method <br /> Casing Diameter(D)in inches <br /> ❑ Bailer-Type <br /> [g 2-inch ❑ 4-Inch ❑ 6-inch ❑ Other Submersible <br /> ❑ Whale <br /> Total Depth of Casing JD in feet BTOC) 8 El Other _ Z� 6e14 �3< <br /> Water Level Depth(WL in feet BTOC) .Z� Pump Intake Setting <br /> ' Number of Well Volumes(#Vols)to be Purged �3• i 1 <br /> ❑ Near Bottom El Near Top V1 Other <br /> 5 3 [:14 ❑ 5 ❑ Other Depth In feet(BTOC) — 75 <br /> ' Purge Volume Calulation Screen Interval in Feet(BTOC) from <br /> � <br /> 2 to X 2_ <br /> X 3 X 0 0409 = ) �, gallons <br /> TD(feet) WL(feet) D(inches) #Vols <br /> Calculated Purge Volume <br /> ' Pump Time / Purge Rate JACtual Purge Volume <br /> Start 15, to Stop rs 4(- Time Elapsed b - s initial ppmZip C7 gallons <br /> ' Field Parameter Measurements Final ppm <br /> Time Time Lapsed Gallons Cond 1 Cond 2 Temp pH Notes <br /> Purged (umhos/cm) (umhos/cm) <br /> �5__a 10 15 5-7 zZ.3 11, 6 T .�r <br /> Observations During Purging(well Condition,Turbidity Color Odor,etc <br /> ' lfizs <br /> Purge Water Storage/Disposal []Drum(s), Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> ' Other <br /> WELL SAMPLING <br /> _Sampled By B McDaniel ISampling Date 447-44-t ? !2- a)1 Sampling Time J1 OU <br /> ' Sampling Method i Water Level Before Sampling(in feet BTOC) <br /> ■ Baker-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,# Analysts Preservative Lab Comments <br /> fv�y <br /> nti -L'7C{ t$ tf"Q �fGS /�t L <br /> F 1 c, 1�C[t X/A <br /> ' }2.{Pc)--.6 D-c 70 r ✓c t ,tea '� <br /> ' Other Notes <br />