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1 <br /> BLAES )EavironmentalManagement,1nc GROUNDWATER SAMPLING FORM <br /> ' 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-6C <br /> 0602-728-0707 <br /> Well Type ■ Monitor ❑ Remedial-VE AS <br /> ' Site ID U-Haul #709-50 © Other <br /> Project No 002-70950-06 Well Material ■ PVC ❑ St Steel <br /> Recorded By _� L. © Other <br /> WELL PURGING J <br /> Purge Volume I Purge Date JPurge Method <br /> ' Casing Diameter(D)in inches ❑ Bader-Type <br /> 0 2-inch ❑ 4-inch ❑ 6-inch ❑ Other E Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 90 ❑ Other <br /> ' Water Level Depth (WL in feet BTOC) _ _ I_;1 All Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> E 3 ❑ 4 El 5 1:1 ether E Near Bottom El Near Top ❑ Other <br /> Depth in feet(BTOC) --80 <br /> ' Purge Volume Calulation Screen Interval in Feet(STOC) from 70 <br /> 2 to 90 <br /> 90 — _7 � `tl 1 X 2 X 3 X 0 0409 = r �(�Z gallons <br /> ' TD(feet) WL(fast) J p(Inches) #Vols <br /> Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> ' Start -7' 1)& Stop Time Elapsed Initial gpm gallons <br /> Field Parameter Measurements Final gpm <br /> ' Time Gallons Purged DO% DO(mg1Q Cond 1 Cond 2 Salinity Temp Notes <br /> (umhoslcm) (umhoslcm) <br /> t Zi i pct ( lo`? 06 <br /> 7 z {o f t 6 0-7'1 l l\1 t Z.47 D I, 2-t t <br /> E I <br /> I I I <br /> I <br /> Observations During Purging(well Condition,Turbidity, Color,Odor,etc <br /> ' Purge Water Storage/Disposal ❑ Drum(s),Number 0 Storm Sewer ❑ Sanitary Sewer <br /> Other!Comments Purge water contained in on-site 1,000 gallon poly tank pending analysisidisposal <br /> WELL SAMPLING <br /> ' Sampled By S),,/ Sampl:ng Date Tv a; Sampling Time <br /> Sampling Method Water Level Before Sampling(in feet BTOC) f,1 <br /> ' ® Bailer-Type 3' Disposable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> ' Sampling Distribution � Sample Series _ _ �Comments <br /> Sample No Containers,Vol,# — -Analysis <br /> T~ Preservative Lab_I _ ; <br /> -- (1) 1 L Amber ' — Diesel <br /> MW-6C 1 (2)40mL Amber Vaa 8015 JI HCI ESC Gasoline <br /> 1I s(2)40mL Amber Voa's' 8260 BTEX, Fuel Oxy's, 1,1- <br /> ---��—� DCA, 1,2-DCA <br /> Other Notes <br />