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' BUEIEnvironmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No � � ` �J <br /> ' 602-728-0707 Well Type ■ Monitor ❑ Remedial -VE AS <br /> Site 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 I JPurge Date 1 0/(D-1 Purge Method <br /> Casing Diameter(D)in inches ® Bailer-Type <br /> ' 0 2-inch ❑ 4-inch [J 6-inch ❑ Other ❑ Submersible ❑ Whale <br /> Total Depth of Casing(TD in feet BTOC) -7 2- , Q ❑ Other <br /> Water Level Depth(WL in feet BTOC) 2::2- , e7 <br /> ump Intake Setting <br /> ' Number of Well Volumes(#Vols)to be Purged 3. 1 8 7�le1n! P <br /> ❑ ❑ ❑ <br /> 3 ❑ 4 L1 5 El Other Near Bottom Near Top Other <br /> Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from <br /> ' _ S-3-2- z to <br /> 72- �' X Z X x 0 0409 = 9 , (� gallons <br /> TD(feet) WL(feet) D(inches) #Vols Calculated Purge Volume <br /> ' Pump Time Purge Rate I Actual Purge Volume <br /> Start J Stop Time Elapsed 12�� Initial qpm �Q, L) gallons <br /> Field Parameter Measurements Final qpm <br /> Time Time Lapsed Gallons Cond 1 Cond 2 Temp Notes 01 <br /> Purged (umhoslcm) (umhoslcm) V V <br /> ' 1 • s D S.0 1 6 13.'rr V. 6,-,? Q•t aW►1 sP.Ls <br /> 1 7 "S Z ,9 6,7 <br /> I' <br /> Observations During Purging(well Condition,Turbidity,Color,Odor,etc <br /> 1 <br /> Purge Water Storage/Disposal ❑Drum(s) Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> ' Other <br /> WELL SAMPLING <br /> Sampled By B McDaniel ISampling Date 1 711010 Isarnpitrig Time ,-7 327 <br /> ' Sampling Method Water Level Before Sampling(in feet BTOC) 3, O� <br /> Bailer-Type 3 ft Disposable ❑ same as Above <br /> t ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> ' Sample No Containers Vol,# Analysis Preservative Lab Comments <br /> ✓> 1W-E -c70l <br /> LId ilk-s d8 /ft L <br /> 1 <br /> Other Dotes <br /> 1 <br />