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BU � } G OR UM WD ATER <br /> '�Environmental Management,Inc SAMPLING FORM' <br /> _ .,�aw.taaxar�..rN� <br /> 202 East Earl]Drlye,Suite 478 f <br /> P' Mx,Arizona 85022 WeH No f� GC <br /> (06i'002'1729-0707 Well Type c!9k Monitor 0 Remedial -VE AS Recovery <br /> c <br /> *Site ID t _ Well Material 6 PVC 0 St Steel 0 Other <br /> Project No D D Z-- `SDS 0 2... Date ` Time <br /> Recorded By f'z715 Sampled By ,y2 <br /> WELLIPUGING' ► <br /> Pur�ge,Volu el• Purur eDate�r b �1 d' .Pur�geK,a hods <br /> Casing Diameter(D)in inches ❑ Bailer-Type <br /> ❑2-inch /n 4-inch ❑ 6-inch ❑ Other ® Submersible ❑ Whale - <br /> Total Depth of Casing(TO in feet STOC) C ❑ Other 7,'/ <br /> Water Level Depth(WL in feet BTOC) � P m intake St=ttln <br /> Number of Well Volumes(#Vols)to be Purged i <br /> 3 ❑4 ❑ 5 ❑ Other y e Near sottorn ❑ Near Top ❑ Other <br /> Depth in feet(STOC) -t- S--q A, C 0 A-% <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from <br /> [� 2 to <br /> {r G Z {'�6� X X - �� X 0 040g = S�� gallons <br /> V 7d{feet) WL(feet) J 0(inches) #Vols Calculated Purge Volume <br /> iSP rHEMur aate Ict at err e e <br /> Start Stop Time Elapsed Initialgprzl gallons <br /> Final gpm <br /> re ra a ler asu <br /> Time Time Lapsed Galforns Cond 3 Cond 2 Temp pH Notes �ygLt f7 <br /> Purged (umhoslcm) (umhosfcm) <br /> 11-158 �-I, 7,":> S <br /> {e l Z Ll 5 T7,go <br /> 1 3� ri J r✓l -� p vc C) <br /> Z C) sraPP 0 —FST AR ACAiar <br />�s/S Ml J5 <br /> Observations inuring Purging{well Condition,Turbsdity,Color,Odor,etc 7 � , <br /> .1 Z Z 5- <br /> Purge Water Storage/Disposal ❑ Drum(s),Number [] storm Sewer ❑ Sanitary Sewer <br /> Other <br /> GlEEM,NMIwEL3 s 4nnPf_rNGism ME= <br /> .Sa A thud .. Water Levei Before Sampling(in feet STOC) <br /> ® Bailer-Type O1 `�Q �13(��_ ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type , <br /> Sa lrng Drstr:112RI [:oM Sample series <br /> lSample <br /> ,,No 1` Containers,Vol,# Analysis Preservative Lab Comments <br /> { l V <br /> Other Notes <br />