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i <br /> BiL/Ua.' Erzsiron,uenl�ltifiio�gencnl ]nc GROUNDWATER SAMPLING FORM <br /> • 202 Etict E7 Dr, e J73 <br /> Phacn, �r.r�zon� 801122 W811 NO <br /> (6021 728 0707 <br /> Well � Monit � Remedial-VE AS <br /> Site ID 6Q Weil E3 PV 0 St Steel 11 Other <br /> Project No 45o, -z- 7 d o z Date —f 4 Q L Time_ /C7 <br /> IRecorded _ >fl ,Jr Sampled By <br /> WELL PURGING <br /> I Purge Volume Purge Dafe 3-ZZ^-O ! Purge Method <br /> Casing Diameter(D)in Bailer-Type <br /> 1�12-Inch ❑ 4 inch ❑ 5-inch ❑ Other ] Submersible ❑ Whale <br /> Total Depth of Casing(TD In feet ❑ Omer <br /> I Water Level Depth(WL In feet BTOC) =PUMP Setting <br /> Number of Well Volumes(#Vols)to be <br /> 19,Near Bottom [I Near Top C] Other <br /> 3 ❑ 4 ❑5 ❑ Other epth in feet <br /> IPurge Volume q Screen interval In Feet(BTOC) <br /> 2 /J,� r to <br /> (feet) —L� <br /> X_ X X 0 0%109 = <br /> TDD <br />' D Qnches) p Vogallonsls Calculated Purge <br /> Pump Tii/m�e Purge Rate Actual Purge Volume <br /> V <br /> Start 1�5' Stop-1085 Time€loosed Initial ppm 1�2 gallons <br /> Field Parameter Measurements Flnal ppm <br /> Time Time Ld sed Gallons Con Co <br /> I • p Purged (u oslcm) (um oslcm) Temp pH Motes <br /> 0,&32f B <br /> I <br /> I <br /> Observations During Purging(well Condition Turbidity Color Odor <br />' Purge Water Drum(s) t rt <br /> ❑ 5 orm Sewer ❑ 5an ory Sewer <br /> Other <br />' WELL SAMPLING <br /> Sampling Date 3 -ZZ-o ( Sampling Time 1�3 �3 <br />' Sampling me_ith_o­d­_1 Water Level Before Sampling(in feet BTOC) <br /> Bailer-Type ❑ Same as Above <br /> Submersible ❑ Whole ❑ Grab-Type <br />' El Other ❑ Other-Type <br /> Sampling Dlstrlbufion Sample Series <br /> Sample No Containers Vol # Analysis Preservative Lob Comments <br /> 1 0 <br />' Other Notes <br />