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' BLA* EFEnvironmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 5433 North Third Avenue <br /> ' Plioeni%,Arixona 85003 Well NofKy <br /> 602-728 0707 Well Type ■ Monitor ❑ Remedial-VE AS <br /> Site ID LJ-Haul #709-50 ❑ Other <br /> Protect No 002-70950-03 Well Material ■ PVC ❑ St Steel <br /> Recorded By B McDaniel ❑ Other <br /> ' WELL PURGING <br /> Purge Volume I IPurge Date 7 l(Lo( Purge Method <br /> Casing Diameter(D)in inches ❑ Bader-Type <br /> ❑ 2-inch Dq 4-inch ❑ 6-inch ❑ Other <br /> Submersible ❑ Whale <br /> Total Depth of Casing(TD in feet BTOC) `b`7 ❑ Other V f- r-k <br /> Water Level Depth(WL in feet BTOC) 77 Gr6 <br /> Pump Intake Setting <br /> ' Number of Well Volumes(#Vols)to be Purged 5Z•7 t3 7/1,/cI <br /> [9 3 ❑ 4 ❑ 5 ❑ Other 5�Near Bottom ❑ Near Top ❑ Other <br /> Depth in feet(BTOC) rL—7 <br /> ' Purge Volume Calulation Screen Interval m Feet(BTOC) from <br /> 2 to <br /> 57 SZ X X X 0 0409 = 70gallons <br /> To(feet) WL(feet) t}(inches) #Vols Calculated Purge Volume <br /> ' Pump Time JPurge Rate I Actual Purge Volume <br /> Start 10 Dq Stop 10 LEE Time Elapsed 2—Y _ Initial qpm D gallons <br /> ' Final Qpm <br /> Field Parameter Measurements <br /> Time Time Lapsed Gallons Cond 1 Cond 2 Temp Notes <br /> ' Purged (umhoslcm) (umhoslcm) <br /> ok <br /> D:1 r "7 <br /> 9 io /00-9 Zl. 9 D-S <br /> :$-0 t f Lf (D 85- Z! 9 d 5'_ &AiKd v re 56wow <br /> v 2 if ZZ:;� `sLf k . o 2-If <br /> ' p Z-7 -Z 3 � 9 IV Zo 0 f ) Z1.7 As— <br /> U, `L 2'-i -70 D 7-11 065- 21 d <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 /> Sampler! By B McDaniel Sampling Date 7 p Sampling Time �'�' 2_0 <br /> Sampling Method Water Level Before Sampling(in feet BTOC) � <br /> 5 Z <br /> Bailer-Type 3 ft Disposable ❑ Same as Above ►�'ti``" <br /> ' ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> ' Sample No Containers,Vol # Analysis Preservative Lab Comments <br /> A s 1r.L66.6 14-6 Z_ <br /> IVA1 <br /> ' Other Notes '� <br />