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' BLAU Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third ANenue �� q <br /> ■ Phoeniz,Arizona 85003 Well No <br /> 602 72s 0707 Well Type ■ Monitor ❑ Remedial -VE AS <br /> site ID U-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 VolumePurge Date � Purge Method <br /> Casing Diameter(D)in inches Bailer-Type <br /> ■ ❑ 2-inch Z 4-inch ❑ 6-inch ❑ Other <br /> ❑ Submersible ❑ Whale <br /> Total Depth of Casing(TD in feet BTOC) G ❑ Other <br /> Water Level Depth(WL in feel BTOC) S/. Pump Intake setting <br /> Number of Well Volumes(#Vols)to be Purged 2•�-? c(a1 <br /> ■ �3 El 4 El 5 11 Other [] NearBottom ❑ Near Top [:] Other <br /> Depth in feet(BTOC) <br /> ■ Purge Volume Calulation Screen Interval in Feet(BTOC) from <br /> 2 to <br /> � ' 3 X � X X 0 0409 gallons <br /> TD(feet) WL(feet) D(inches) #Vols Calculated Purge Volume <br /> ■ Pump Time Purge Rate Actual Purge Volume <br /> Start Stop Time Elapsed Initial qpm gallons <br /> ■ Field Parameter Measurements Final qpm <br /> Time Time Lapsed Gallons Cond 1 Cond 2 TempNotes <br /> ■ Purged (umhoslcm) (umhoslcm) <br /> 5'7 � klt- a� � Jo of 7,_3S= Z,�7 <br /> Kr nq 7 5�0 1Z-77 136 2-),8 0.7 i v� <br /> ■ "13 bb rb o 1 L9 1 1/ V. 3 0, <br /> $ z 2G i c7 130 1 t � 7D,el D. ) <br /> 131 i ] I Ll Z-{ 3 0;7 <br /> Observations During Purging(well Condition,Turbidity Color,Odor, etc GL&-Gloms <br /> ' Y V <br /> r <br /> ■ <br /> Purge Water Storage/Dispos F]Drum(s), Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> ■ Other <br /> WELL SAMPLING <br /> Sampled By B McDaniel Isaimpling Date 7 p ol ISampling Time <br /> ■ Sampling Method Water Level Before Sampling(in feet BTOC) Z, <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 /> n4rl,f -SA-C'70fdII- <br /> Other Notes �c2� <br />