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BI.BIA EI E <br /> nyironmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 202 East Earll Drive,Suite 47$ � �_ �^ <br /> I Phoenix,Arizona 65012 Well No '}✓> <br /> 602 728-0747 <br /> ^— �� Well Type 6M Monitor EJ Remedial-VE A5 Recovery <br /> .Site ID 7 Well Material PVC El St Steel El Other <br /> I Project No Z- 76iDate Time C:5-C> <br /> Ir <br /> Recorded By Q,P Sampled By Q_ e'e:9, 604—Z <br /> WELL PURGING <br /> ffDtameter <br /> Purge Date `/ 7�/a� Purge Method <br /> nches Bailer-Type <br /> ❑ 6-inch ❑ Other <br /> ❑ Submersible E] Whale <br /> Total Depth of Casing(TD in feet BTOC) ]Z ❑ Other <br /> Water Level Depth(WL in feet BTOC) rZ.'9:—q Primp Intake Setting <br /> I Number of Well Volumes(#Vols)to be Purged <br /> ❑ <br /> 3 ❑ 4 ❑ 5 [] Other Near Bottom El Near Top El Other � <br /> Depth in feet(BTOC) <br /> I Purge Volume Calulation Screen Interval in Feet(BTOC) from <br /> C 2 to <br /> 7 L — 5 2 , X X X 0 0409 = 9 P 5gallons <br /> V TD(feet) WL(feet) D(inches) #Vols Calculated Pur <br /> \\\ ge Volume <br /> Rate Actual Purge Volum <br /> Pump Time Purge e <br /> Start )J,5( stop Time Elapsed Initial gpm gallons <br /> Field Parameter Measurements i <br /> Final gpm <br /> Time Time Lapsed Gallons Cond 1 Cond 2 Tem <br /> Purged (umhos/cm) (umhoslcm) p Notes <br /> aS1Yr- <br /> :o� Pt 77- . e 6A7 <br /> / Y 61— Z_ '9 0.7 <br /> Observations During Purging(well Condition,Turbidity,Color, Odor,etc <br /> Purge Water Storage/Disposal [] Drum(s), N mber ❑ Storm Sewer ❑ Sanitary Sewer <br /> I Other <br /> WELL SAMPLING <br /> Sampling ISampling Time <br /> Sampling Method Water Level Before Sampling(in feet BTOC) S Z <br /> ❑ Bailer-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 /> frau 2- ¢b <br /> I' ji oA 82 0 <br /> Other Notes <br />