Laserfiche WebLink
E 13 +� 'f Environmental plana ement,Inc GROUNDWATER <br /> g SAMPLING FORM <br /> 202 East Earil Drive,Suite 478 <br /> E Phoenix,Arizona 85012 Well No ^W <br /> 602 728-0707 <br /> Well Type 5�- Monitor ❑ remedial -VE AS Recovery <br /> Site ID ?Cq .-,;--e> - Well Material In PVC ❑ St Steel ❑ Other <br /> EProtect No Date 9 y'7 ®o Time Z-p t L 2-5- <br /> Recorded By Sampled By <br /> WELL PURGING <br /> Purge Volume I Purge Date ? 7 Purge Method <br /> Casing Diameter(D)in Inches 0 Bailer-Type <br /> .9)2-Inch ❑ 4-inch ❑ 6-inch ❑ Other 29SubmerslbleElWhale <br /> 1 <br /> Total Depth of Casing(TD in feet BTOC) -7 • ? El other Z� Z r` <br /> Water Level Depth(WL in feet BTOC) </ 40 Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> IN <br /> 3 [j 4 E] 5 F-1 Other Near Bottom El Near Top El Other <br /> Depth in feet(BTOC) eL q 4 <br /> Purge Volume Calulatlon Screen Interval In Feet(BTOC) from 75- <br /> 1 - <br /> ?5' -25-1 Ya J X 2 Z X to !O6 <br /> gallons <br /> 0 <br /> 3 X 0 0409 = 7-4 <br /> TD(feet) WL(feet) D(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> r Start ISS stop �3 Time E=lapsed Initial gpm gallons <br /> IField Parameter Measurements Final gpm <br /> Time Time Lapsed Gallons Cond I Cond 2 <br /> P Purged (umhoslcm) (umhoslcm) Temp PH, Notes <br /> U i 1 a 110 9 -;fl <br /> 15- I3Lf <br /> Observations During Purging(well Conditton,Turbidity, Color, Odor,etc �[ <br /> Purge Water Storage/Disposal ❑ Drum(s), Number E] Storm Sewer [] Sanitary Sewer <br /> EOther P� ►�rt w(G <br /> WELL SAMPLING <br /> Sampling Date Z- 0a Sampling Time Z-'d <br /> Sampling Method K Water Level Before Sampling(In feet BTOC) S 3 <br /> W Bailer-Type IdT-' Q !J IQ Same as Above <br /> E ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Senes <br /> Sample No Containers Vol ,# Anal sis Preservative Lab Comments <br /> wlV�3�t� Lf 03 <br /> Other Notes <br />