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B"FJ Environmental Management,Inc <br /> g GROUNDWATER SAMPLING FORM <br /> 202 East Earl]Drive,Suite 478 <br /> Phoenix,Arizona 850I2 Well No <br /> 602 728-0747 <br /> Well Type CPO Monitor El Remedial -VE AS Recovery Site 1D J71) Well Material a PVC 0 St Steel ❑ Other <br /> Project No 17x7 -7oC T6 -b 7-.- Date Time <br /> Recorded By Sampled By <br /> WELL PURGING <br /> FCasing <br /> ge Volume Purge Da#e ���/ Purge Method <br /> Diameter(D)In inches ❑ Bailer-Type <br />! -inch ❑4-Inch ❑ 6-Inch ❑ Other AlSubmersible4 ❑ Whale <br /> Total Depth of Casing(TD In feet BTOC) 'T9, 'S ❑ Other Qwtr<IR,.. _�a Z~ <br /> Water Level Depth(WL in feet BTOC) 3 - t Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> Near Bottom [:1 Near Top El Other <br /> T3 ❑ 4 ❑ 5 ❑ Other Depth in feet(BTOC) 1470 <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from <br /> 2 2 to <br /> 7D(feet) Wf �O <br /> t) X D(inches) X #Vols X O 0409 Calculated <br /> F Purge Volume Pur V gallons <br /> IPump Time Purge Rate Actual Purge Volume <br /> Start by 04 Stop !d 315Time Elapsed 3 Initial gpm �� gallons <br /> Field Parameter Measurements Final gpm <br /> Time Time Lapsed Gallons Cond 1 Cond 2 Tem <br /> E Purged (umhoslcm) (umhoslcm) p Notes <br /> r� 0 J 5_, Seo /� 9 z- ! zo Z3,6 0.6 <br /> o : <br /> Zvi Z4 �S' z� iv�7 01 Z3 -z 0 <br /> Observations During Purging(well Condition,Turbidity,Color, Odor,etc <br /> Purge Water StoragelDisposal [] Drum(s), Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> Other T�4C <br /> WELL SAMPLING <br /> Sampling Date Z7 OO Sampling Tlme /o-W <br /> Sampling Method Water Level Before Sampling(in feet BTOC) 5-2 .714 <br /> << a <br /> Bailer-Type u 9 Wsame as Above <br /> C ® Submersible ❑ hale ❑ Grab-Type <br /> f ❑ Other �" <br /> P ❑ Other-Type <br /> Sampling Distribution= Sample Series <br /> Sample No Containers,Vol ,# Analysis Preservative Lab Comments <br /> - 00-P + J', '- a p d - ei <br /> Other Notes P� r Q'r-CD <br />