Laserfiche WebLink
IBVA 'U Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 202 East Earll Drive,Suite 478 I, q <br /> Phoenix,Arizona 85012 Well No 44(� <br /> 602 729-0707 <br /> Well Type Pili Monitor 0 Remedial -VE AS Recovery <br /> . Site ID So Well Material W PVC 0 St Steel 0 Other <br /> Project No cc,2-- 7a9Sa o1_ Date R Z71[pc7 Time Z"fl <br /> I Recorded By Sampled By 91 + <br /> WELL PURGING <br /> Purge Volume Purge Date Z Purge Method <br /> Casing Diameter(D)in inches Q Bailer-Type <br /> N2-inch ❑ 4-inch ❑ 6-inch ❑ Other <br /> 8 Submersible E] Whale <br /> Total Depth of Casing(TD in feet BTOC) G' ❑ Other Z" <br /> Water Level Depth(WL in feet BTOC) Zpump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> �J <br /> ❑ 4 E] 5 ❑ Other Near Bottom E:1 Near Top E] Other <br /> Depth in feet(BTOC) 2 911 <br /> Purge Volume Calulationr Screen Interval in Feet(BTOC) from 7� <br /> � 2 3 t0 l�r� <br /> X X X 0 0409 = . o gallons <br /> TD(feet) WL(feet) D(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start Z `b Stop Zlft Time Initial gpm Z.Z gallons <br /> rField Parameter Measurements Final gpm <br /> Time Time Lapsed Gallons Cond 1 Cond 2 Temp pt F+ Notes <br /> Purged (umhoslcm) (umhoslcm) <br /> z zz -5- 964 7 6'2' <br /> Ja 95-1 Zi.7 <9&ealfG� , <br /> Z 2-`i.6 b. <br /> Z , 14 D <br /> E <br /> EObservations During Purging(well Condition,Turbidity,Color, Odor,etc <br /> Purge Water Storage/Disposal ❑ Drum(s), Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> Other &y <br /> WELL SAMPLING <br /> Sampling Date __[–!V —Z.7 Oa Sampling Ttme Z Y/ <br /> Sampling Method W FWater Level Before Sampling(in feet BTOC) 5Z,�g <br /> Bailer-Type A Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribut-io—n -1 Sample Series <br /> Sample No Containers,Vol,# Anal sis Preservative Lab Comments <br /> YKK) --3-1100 IID -S �erS t� S Z=yi <br /> &W- 1 -900-8 ks81T &_J C. S <br /> Other Notes <br />