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E I Cr <br /> gL/.A�u Environmental Management,Inc G ROUN DWATER SAMPLING FORM <br /> 242 East Eartl na 8 Suite 0.78 V V l � ,#-13 P <br /> Phoenix,Arizona 65412 Well No (/(,f I'J <br /> 602 728-0747 <br /> Well Type Monitor El Remedial-VE AS Recovery <br /> Site ID—?Of. 45-0 Well Materially PVC ❑ St Steel ❑ Other <br /> Project No pat 70i!!�50 --0 Z Date Time <br /> Recorded By Sampled By <br /> I WELL PURGING <br /> Purge Volume Purge Date Purge Method <br /> Casing Diameter(D)in inches ❑ Sailer-Type <br /> I2-inch ❑ 4-inch ❑ 6-inch ❑ Other _ ❑ Submersible ❑ Whale <br /> Total Depth of Casing(TD in feet BTOC) ❑ Other <br /> Water Level Depth(WL in feet BTOC) Pump Intake Setting <br /> Number of Well Volumes(#Vats)to be Purged <br /> 3 ❑ 4 ❑ 5 F1 Other El Near Bottom El Near Top El Other <br /> Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from <br /> S _ 2 to <br /> �' Jam," X Z' X X 0 0409 = ._T to <br /> To(feet) WL(feet) D(inches) #Vols Calculated Purge Volume <br /> Pump Time <br /> / Purge Rate Actual Purge Volume <br /> Start 7 Stop 3-p Time Elapsed 2-� Initial 0.-5- <br /> .5- gpm 2,O gallons <br /> I �•� <br /> Field Parameter Measurements Final gpm <br /> Time Time Lapsed Gallons Cond 1 Cond 2 Tem Notes <br /> Purged (umhos/cm) (umhos/cm) p <br /> ;Ot f� g l Sa <br /> 12. 3 9 27-. <br /> 3'IV 6L4 Z 3 Z 22.2 p,,L. <br /> Observations During Purging(well Condition,Turbidity,Color,Odor,etc 1�4d"qa <br /> 1 Purge Water StoragelDisposal ❑ Drum(s),JYumber ElStorm Sewer E] Sanitary Sewer <br /> Other e <br /> WELL SAMPLING <br /> Sampling Date 1.4Qo ISampling Tirne_ r <br /> Sampling Method Water Level Before Sampling(in feet BTOC) '�f q <br /> �6ailer-Type ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> Sample No Containers,Vol # Analysis Preservative Lab Comments <br /> no (0 O <br /> E50 r <br /> Other Notes <br />