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i <br /> IBLAEf Ennranm.Litnl AN"gemen1 Inc GROUNDWATER SAMPLING FORM <br /> . 202 ERSL Enril Drne Smrc 478 <br /> Pliueni\ Arizona 85012 WAIF NO 14 <br /> (602)728 0707 <br /> i Site IDWell a Montt E3 Remedial-VE AS <br /> _-, Well k1 PV 0 St Steel D Other <br /> Project No W -Z -70g60 O Z Date 3-N-or Time <br /> Recorded COA94&1V71�": Sampled By <br /> WELL PURGING <br /> Purge Volume Purge Date Purge Method <br /> Casing Diameter(D)In Bailer-Type <br /> M2-inch ❑ 4-Inch ❑ 6-Inch ❑ Other 3'�i O f Submersible ❑Whole <br /> Total Depth of Casing(TD In feet Other <br /> Water Level Depth(WL In feet BTOC) pump Intake Setting <br /> Number of Well Volumes(#Vols)to be <br /> ❑ <br /> 3 ❑ 4 ❑ 5 ❑ Other Near Bottom ❑ Near Top El Other <br /> I Depth In feet <br /> 40 e Volume Screen interval In Feet(BTOC) <br /> � _ l to <br /> f W �S.q(. J X � 2 X 3 X 0 0409 = $ gallons <br /> TD(feet) WL D(Inches) #Vols Calculated Purge <br /> Pump TimePurge Rata Actual Purge Volume <br /> Start_/5_/t Stop Zs-_O Time Elapsed Initial ppm / gallons <br /> Field Parameter Measurements Final ppm <br /> Time Time Lapsed Gallons moi-- Tem <br /> Purged (umhoslcm) (umhoslcm) P pH Notes <br /> z= <br /> Observations During Purging(well Condition Turbidity Color Odor <br /> IPurge WaterDrum s <br /> ❑ ❑ Storm Sewer ❑ Sanitary Sewer <br /> Other <br /> WELL SAMPLING <br /> Sampling Date Isampling Time ZZC� <br /> Sampling Method Water Level Before Sampling On feet BTOC) <br /> oiler-Type ❑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 /> vo <br /> i <br /> Other Notes <br />