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I BLAH En.,ronm imI Nlvngemem l,ie GROUNDWATER SAMPLING FORM <br /> 202 E'ts[EnrlI Elm Suite 178 <br /> Pl,oen,% Anxoni 85012 Well No <br /> (602)723 0707 <br /> I <br /> Site ID DRQ Well Montt ❑ Remedial-VE AS <br /> 7 Well ❑ PV ❑ St Steel 0 Other <br /> Protect No 062 7001 —p a Z Date -D I Tlme_J 7,, � <br /> Recorded awl qe Sampled By <br /> WELL PURGING <br /> Purge Volume Purge Date Purge Method <br /> �Casing Diameter(D)In Boiler-Type <br /> L�q 2 Inch C14-Inch Elk inch [I Other <br /> K �Submersible ❑ Whale <br /> Total Depth of Casing(ID In feet ❑ Other <br /> Water Level Depth(WL In feet BTOC) Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be <br /> '191 Near Bottom ❑ Near Top ❑ Other <br /> 'P[3 ❑4 ❑ 5 ❑ Other Depth In feet <br /> Purge Volurne Screen Interval In Feet(BTOC) <br /> 2to <br /> TD(feet) wl X X X 0 0409 = L ` Purge gallons <br /> D(Inches} fl Is Calculated Purge <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start1115 Stpp �Time Elapsed Initial Ppm gallons <br /> Field Parameter Measurements Finol qpm <br /> Time 71me Lapsed Gallons Gond Cond <br /> p Purged (um) (umh /am) Temp pH Notes <br /> �p� O <br /> CA -Z4 2[A? <br /> Observations During Purging(welt Condition Turbidity Color Odor <br /> Purge Water IxDrum(s) <br /> E] Storm Sewer ❑ Sanitary Sewer <br /> Other <br /> WELL SAMPLING <br /> Sampling Date 3-27- 0/ Sampling Time lyQ O <br /> I Sampling Method Water Level Before Sampling(in feet BTOC) L(r <br /> Boder-Type ❑ some as Above <br /> ❑Submersible ❑ Whole ❑ Grab-Type <br /> I Other ❑ Other-Type <br /> Sampling Distnbution Sample Series <br /> Somple No Containers Vol # Analysis Preservative Lab Comments <br /> IOther Notes <br /> I <br />