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F(602) <br /> CJ Envlroome.711Vlnnagement,Inc }—��`'' <br /> Earp Dave Suite 478 <br /> R Y� GROUNDWATER SAMP,�LING FORM-� <br /> ' Arizona 85012 Wel! No j <br /> -0707 �J <br /> Site ID _ Well Type Monitor 0 Remedial -VE ASecovery <br /> �y l� Well Material 0 PVC � <br /> I Project No Co 2—'7 p,5-C-) z 5t Steel Other <br /> Date Time <br /> Recorded By <br /> Sampled By <br /> xA.'',i <br /> L�`• i„ ���ti `!,_. >'_r.=,yr:WELLtPU <br /> MR�^,SY me <br /> 4P�targe Date QMH bz"'o G Purge Me�hod off <br /> Casing Diameter(D)in inches O _ <br /> 1 ® 2-inch El4-inch �Bailer-Type �s <br /> ❑ 6-inch ❑ Other <br /> Total Depth of Casing(TD in feet BTOC) G ct El Submersible ❑ Whale <br /> ❑ Other <br /> Water Level Depth(WL in feet BTOC) <br /> Number of Well Volumes(#Vols)to be Purged - a U a a 5etting <br /> IN 3 ❑ 4 ❑ 5 ❑ Other ❑ Near Bottom ❑ Near Top ❑ Other <br /> ' Purge Volume Calulation Depth in feet(BTOC) <br /> Screen Interval in Feet(BTOC) from <br /> ( g3 . Y2— X Z 2 3 to <br /> TD{feet} WL(feet) ,) D l,n�- ohX #vols — X 0 0409 = z gallons <br />' Calculated Purge Volume <br /> low OEM <br /> iPu p Time <br /> ;Pur a Rate '' gctual urge Vo ume <br /> Start Q v Stop Time Elapsed <br /> Initial gpm <br /> gallons <br /> Pieltl ame a ens e e Final gpm <br /> Time Time Lapsed Gallons Cond t Cond 2 <br /> Io�c�o Purged (umhwcm) (umhoslcm) Temp pH Notes <br /> 0 09 a <br /> 7 Sr �p� .© w4.t�r }v r o -S <br /> a cam? <br /> 01Z f- 3 0.s <br /> a _5 1-�,r 1 p <br />' Observations During Purging(well Condition,Turbidity,Color, Odor,etc 'y <br /> Purge Water Storage/Disposal ❑' Drurl Number__ ❑ Storm Sewer ❑ Sanitary Sewer <br /> Other 3 t y) <br /> ELt SAMA P� } <br /> Samp ng Date Z�d dv r" ' <br /> ,..�.. ....-= d.�., Samplin�e ,lam <br /> Sam !In NJgtlip�i Water Level Before Sampling(in feet STOIC) �3 <br /> ® Bailer-Type ❑ Same as Above <br /> ❑ Submersible ❑ Whale <br /> ❑ ❑ <br /> Other Grab-Type <br /> El -Type <br /> Sam llnJ'Dts�,,, tr,�ibuti0il- <br /> Sample Serres <br /> ISample No Containers,Vol ,# Analysis <br /> ,3 Y P eservative Lab Comments <br /> O 5 <br /> I Other Notes <br />