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BLAFS Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> ' 2433 North'Third Avenue <br /> Phoemx,Arizona 85003 Well NO MW-$B <br /> 02-728-0707 <br /> Well Type ■ Monitor ❑ Remedial-VE AS <br /> ' <br /> Site ID U-Haul #709-50 ❑ Other <br /> Project No 002-70950-06 Well Material ■ PVC ❑ St Steel <br /> Recorded By ;,VI/ ❑ Other <br /> - WELL PURGING <br /> I <br /> Purge Volume Purge Date 3(Z-i1 JS JPurge Method <br /> Casing Diameter(D)In inches ❑ Bailer-Type <br /> ❑ 2-inch 0 4-inch ❑ 6-inch ❑ Other ■ Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 62 ❑ Other <br /> Water Level Depth(WL in feet BTOC) S­1i-7_-L_ Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> 3 [:14 ❑ 5 El Other 0 Near Bottom El Near Top El Other <br /> Depth in feet(BTOC) -57 <br /> ' Purge Volume Calulation Screen Interval in Feet(BTOC) from 37 <br /> z to 62 <br /> ' <br /> 62 �- X 4 X 3 X 0 0409 = gallons TD(feet) WL(feet) JJ D(inches) #Vols <br /> Calculated Purge Volurne <br /> Pump Time Purge Rate JActual Purge Volume <br /> ' Start 16'28' Stop 16%3$' Time Elapsed Initial gpm �,� gallons <br /> Field Parameter Measurements Final gpm <br /> ' Time Gallons Purged' DO% DO(mglL) (uCond m) (uCond m) Salinity Temp Notes <br /> I c�.�o G-� r6 6 ,.err 234 <br /> lb 3g 132 230 t. eW �u5 arra , <br /> I <br /> Observations During Purging(well Condition,Turbidity,Color,Odor,etc <br /> Purge Water Storage/Disposal ❑ Drum(s),Number ❑ Storm Sewer ❑ Sanitary sewer <br /> Other I Comments Purge water contained in on-site 1,000 gallon poly tank pending analysis/disposal <br /> WELL SAMPLING <br /> ' Sampled By 5-t_, Sampling Date Sampling Time <br /> Sampling Method Water Level Before Sampling(in feet BTOC) <br /> ' ! Bailer-Type 3' Disposable _ ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> ' Sampling Distribution Sample Series <br /> Sample No _ j Containers,Vol,# Analysis I Preservative _Y Lab_ Comments <br /> (1) 1L Amber _I_�_ - Diesel — --- <br /> (2) 40mL Amber Voa's!_ 8015 Gasoline <br /> MW-8B ---1 HCl ESC i BTEX, Fuel Oxy's, 1,1- <br /> (2)40mL Amber Voa's! 8260 a ! <br /> DCA, 1,2-DCA <br /> ' Other Notes <br />