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��U EnSironiuc�E��l\I imgrmeut Inc GROUNDWATER SAMPLING FORM <br /> 202 E1sr Enrll Dme Suite 478 <br /> PhOu"IN Anxann 83012 Well No <br /> (602)723 0707 <br /> I <br /> Site ID Oq'$_0 Well Monit ED Remedial-VE AS <br /> Well 0 PV C1 St Steel El Other <br /> Project No ooL 70o Z Date ti0/ Time <br /> Recorded /&/r,_X; Sampled By <br /> WELL PURGING <br /> Purge Volume PurgeDate (_p J Purge Method <br /> Casing Diameter(D)in A Bauer-Type <br /> 92 inch ❑ 4-Inch ❑ 6-inch ❑ Other ❑ Submersible ❑Whale <br /> Total Depth of Casing(re In feet ❑ Other <br /> Water Level Depth(WL In feet BTOC) <br /> Number of Well Volumes(#Vols)to be Pump Intake Setting <br /> 3 El 4 El 5 [__1 Other Near Bottom El Near Top ❑ Other <br /> Depth In feet <br /> Purge Volum O U_ }� 1 Screen Interval In Feet(STO�C) <br /> 2 • to <br /> r TD(feet) WL X X __ X 0 0409 = gallons <br /> D(inches) #vols Colculafed Purge <br /> Pump Time I Purge Rate ActualPurge Volume <br /> Start &/_4 Stop t'7.Ob Time Elapsed Initial pprn Z 2 <br /> gallons <br /> Field Parameter Measurements Final porn <br /> Time Time Lapsed Golions Con c <br /> Purged (u os/cm) (1.1%;0's/cm)�} Temp pH Notes <br /> f_,to-0 1 J, <br /> Observations During Purging(well Condition Turbidity Color Odor <br /> Purge Water Drum(s) <br /> ❑ Storm Sewer ❑ Sanitary Sewer <br /> Other <br /> WELL SAMPLING <br /> Sampling Date Sampling Tlme <br /> Sampling Method Water Level Before Sampling(in feet BTOC) 7-.L( 0 <br /> Bailer-Type ❑ Same as Above <br /> LJ Submersible ❑Whale ❑ Grab-Type <br /> Other ❑ Other-Type <br /> SamplingDistnbutlon Sample Series <br /> Sample No Containers Vof # Analysis Preservative Lab Comments <br /> I Z—O <br /> IOther Notes <br />