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' BLAEIEnvironmentalManagement,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue ����� Y (� (7 <br /> ' PhOeni;,Arizona 85003 Well No _r P) <br /> 602-728 0707 Well Type ■ Monitor ❑ Remedial -VE AS <br /> Atte ID—U-Haul #709-50 C3Other <br /> ' Project No 002-70950-03 Well Material ■ PVC ❑ St Steel <br /> Recorded By B McDaniel ❑ Other <br /> ' WELL PURGING <br /> Purge Volume JPurge Date U'la JPurge Method <br /> r <br /> Casing Diameter(D)in inches � S <br /> ' <br /> Bailer-Type _ �0 2-Inch ❑ 4-Inch ❑ 6-inch ❑ Other <br /> ❑ Submersible ❑ Whale <br /> Total Depth of Casing (TD in feet BTOC) 77 ❑ Other <br /> Water Level Depth(WL in feet BTOC) pump Intake Setting <br /> ' Number of Well Volumes(#Vols)to be Purged 5—/° 6<C) 7/l�o/ <br /> ❑ Near Bottom ❑ Near Tap El Other <br /> 3 ❑ ❑ 5 ❑ Other Depth in feet(BTOC) <br /> Purge Volume Calulation 5r/r 4, Screen Interval in Feet(BTOC) from <br /> 2 to <br /> 7 7 "' X Z 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 101.3Lf Stop 10 ,5_ Time Elapsed IS) Initial qpm gallons <br /> ' Field Parameter Measurements Final qpm <br /> Time Time Lapsed Gallons Cond 1 Cond 2 Temp Notes <br /> ' Purged (umhoslcm) (umhoslcm) <br /> 0 �t 'C a 5�� u I Z IL ZZ 0,6 , <br /> v- 1tt c50 ID.o ^7 I Lq Lq Z Z,0 0, <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_M_cD_anle! Isampiing Date Sampling Time j l� <br /> Sampling Method Water Level Before Sampling (in feet BTOC) 52, 7 <br /> ■ Bailer-Type _ 3 tt 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 /> ►�1 Iii.+- 0 7c I byL <br /> ti <br /> ' Other Notes <br />