Laserfiche WebLink
5 Tgakk- 4,0, it4 . <br /> IBL AEfEnvironmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 202 East Earl[Drive,Suite 478 <br /> Phoenix,Art2opa 85012 Well No <br /> 602 728 0707 <br /> Well I] Monito E3 Remedial -VE AS Recovery <br /> Site 1D Well _0 PVC 13 St Steel El Other <br /> Project No ? Date ' '� Time <br /> Retarded By Sampled By <br /> I WELL PURGING <br /> Purge Volume purge Date Purge Method <br /> Casing Diameter(D)in inches ❑ Bader-Type <br /> I Vq 2-inch ❑ 4-inch ❑ 6-inch ❑ Other Submersible ❑ Whale <br /> Total Depth of Casing(TD in feet STOC) ] ❑ Other <br /> Water Level Depth(WL in feet BTOC) l�$.3 f pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> a3 ❑ 4 ❑ 5 ❑ Other Near Bottom ❑ Near Top ❑ Other <br /> Depth in feet(aTOC) <br /> Purge Volume Calulation Screen Interval in Feet(STOC) from <br /> rIl 2 to <br /> l - J X X X 0 0409 = � gallons <br /> TD(feet) WE(feet) D(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volpme <br /> Start Stop 5- 7� Time Elapsed iu.:"l Initial gpm gallons <br /> Field Parameter Measurements Final qpm <br /> Time Time Lapsed Gallons Cond I Cond 2 <br /> P Purged (umhoslcm) (urnhoslom} Temp P� Nates <br /> 0 <br /> Observations During Purging (well Condition,Turbidity,Color,Odor,etc <br /> Purge Water Storage/Disposal /� Drum(s), Number ❑ Storm Sewer E] Sanitary Sewer <br /> Other <br /> WELL SAMPLING <br /> Sampling Date VZ-L-, ISampling Time SC <br /> Sampling Method Water Level Before Sampling(in feet BTOC) <br /> Bailer-Type ❑ Same as Above <br /> Submersible ❑ Whale Grab-Type <br /> ❑ Other ❑ Other-Type <br /> 5ampltng Distribution Sample Series <br /> Sample No Containers Vol,# Analysis Preservative Lab Comments <br /> Other Notes <br />