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B VAEI Environmental Management, <br /> lnc GROUNDWATER SAMPLING FORM <br /> 202 East Earl]DrLVe,Suite 478 <br /> Phoenix,Arizona 85012 Well No <br /> 602 728-0707 <br /> � CSS Well Type � Monitor 0 Remedial -VE AS Recovery <br /> Site ID 7Q � � <br /> Well Material PVC 0 St Steel El Other <br /> Project No 602-20 TIT-0 - 6 2 tate Ott Time S <br /> Recorded By s WOMAJ Sampled By 13, tZt� <br /> WELL PURGING <br /> Purge Volume Purge Date Purge Method <br />■ Casing Diameter(D)in inches Bailer-Type Z 't2 <br /> 2-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) <br /> Number of Well Volumes(#Vols)to be Purged Pump Intake Setting <br /> ❑ 4 ❑ 5 ❑ Other ❑ Near Bottom ❑ Near Top ❑ Other <br /> Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from <br /> 2_ z to <br /> To(feet WL(feet X X X 0 0409 = �1 gallons <br /> ) b(inches) #Vols Calculated Purge Volume <br /> Pump Time I Purge Rate Actual Purge Volume <br /> Start 3'50 Stop Time Elapsed Initial gpm lZ� fl gallons <br /> Field Parameter Measurements Final 17.5 gpm <br /> Time Time Lapsed Gallons Cond 1 Cond 2 S <br /> F Purged (umhos/cm) (umhoslcm) Temp �pFF [Votes <br /> I -a� s )ON. 1DZ Z3 9 <br /> 3 <br /> -23 <br /> 00 Z- 23.L Q �� <br /> zt <br /> Observations During Purging(well Condition,Turbidity,Color, Odor,etc Ali <br /> Purge Water Storage/Disposal [] Drum(s), Number [] Storm Sewer ❑ Sanitary Sewer <br /> EOther 6>4 <br /> WELL SAMPLING <br /> Sampling Date ?.(, fp7 Sampling Time 4f� <br /> Sampling Method n D Water Level Before Sampling(in feet BTOC) <br /> ® Bailer-Type 6 i S 735a4& ❑ Same as Above <br /> ❑ Submersible ❑ Whale <br /> ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> Sample No Containers,Vol ,# Analysis Preservative Lab Comments <br /> t7Q 2— VC7d 1 5 <br /> Yj tJ �L Sa t� P4 <br /> Other Notes 7 W`1f7 <br />