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B[.AU Environmental Management,Inc GROUNDWATER ER SAMPLING FORM <br /> 202 East Earil Drive,Suite 478 <br /> Phoenix,Arizona 85012 Well No - 1 <br /> 602 728-0707 <br /> Well Type 99 Monitor EJ Remedial -VE AS Recovery <br /> 1013 <br /> lte ID -1Og- SD Well Material A PVC El St Steel 13 Other <br /> Project No pD 2-70186 P Z Date Time <br /> Recorded By �ynr Sampled By <br /> WELL PURGING <br /> Purge Volume Purge Date Z� G� Purge Method <br /> Casing Diameter(D)in inches JF Bailer-Type Z <br /> 2-inch ❑ 4-inch ❑ 6-inch ❑ Other ❑ Submersible ❑ Whale <br /> Total Depth of Casing(TD in feet BTOC) 77 ❑ Other <br /> Water Level Depth(WL in feet BTOC) _ 7�,raa Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> ❑ <br /> 3 E] 4 E] 5 ❑ Other Near Bottom El Near Top El Other <br /> Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from <br /> 7 2 to <br /> r Tp(feet) X � X 3 X 0 0409 = J'2 - � gallons <br /> ( ) (feet) D(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start _5-6 ;Stop S 7 Time Elapsed 3 2' Initial gpm 3 gallons <br /> Field Parameter Measurements Final gpm <br /> Time lime Lapsed Gallons Cond 1 Gond 2 Tem <br /> Purged (umhos/cm) (umhos/cm) p Notes <br /> ,1 <br /> 12,37 2,7a Z3 1 8. <br /> 9 <br /> Sr, 2- ; Z f zS 1.1 . a,� /7 <br /> Observations During Purging (well Condition,Turbidity,Color,Odor, etc Oke_ <br /> Purge Water Storage/Disposal ❑ Drum(s), Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> Other <br /> WELL SAMPLING <br /> Sampling Date pQ ISampling Time 7�Od <br /> Sampling Method Water Level Before Sampling(in feet BTOC) ,�8 <br /> 03 Bailer-Type 0 ❑ 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 /> YK 2 VO A r&15, <br /> Other Notes <br />