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1 <br /> BLAES Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MWAB <br /> 02-728-0707 <br /> Well Type ■ Monitor © Remedtal-VE AS <br /> ' Site ID U-Haul#709-50 ❑ Other <br /> Project No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By S © Other <br /> ' L WELL PURGING <br /> Purge Volume (Purge Date Purge Method <br /> t Casing Diameter(D)in inches ❑ Bader-Type <br /> 2-inch ❑ 4-inch [] 6-inch E] Other <br /> Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 77 ❑ Other <br /> ' Water Level Depth(WL in feet BTOC) __ Yq <br /> Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> Near Bottom ❑ Near Top ❑ Other <br /> E 3 ❑ 4 115 ❑ other Depth in feet(BTOC) <br /> ' Purge Volume Calulation Screen Interval in Feet(BTOC) from 52 <br /> l 2 to 77 <br /> (__ 77 — y�-�f J X 2 X — X 0 0409 W 13,3 gallons <br /> ' TD(feet) WL(feet) J p(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> ' Start 2__.T� Stop Time Elapsed Initial gpm lt( gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons Purged DO% DO(mglL) (umhos/cm) (umh sl m) Salinity Temp (Votes <br /> 2 i o vtr NA ►vR- AJ# N4 Ae4 <br /> ' Z 31 .5 7.S a 63 z3 r-) <br /> 2' 3S- !n 2 03-( ZZ 6 <br /> Z ' 3el ,y $ 0 0,6 cl 2-Z i <br /> 1 _ <br /> ' Observations During Purging(well Condition Turbidity, Color,Odor,etc <br /> ' Purge Water Storage/Disposal ❑ Drum(s),Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> Other!Comments Purge water contained in on-site 1,000 gallon poly tank pending analysis/disposal <br /> WELL SAMPLING <br /> ' Sampled By s, Wre,r,1L 1J Isampling Date L. 7s o Sampling Time I9%8 <br /> Sampling Method I Water Level Before Sampling(in feet BTOC) <br /> t 0 Bailer-Type 3' Disposable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> I ' Sampling Distribution Sample Series <br /> —Sample No Containers,Vol, # Analysis —Preservative— — — — Lab_ Comments —— <br /> (1) 1 L Amber 8015 None Diesel <br /> ' MW-1 B (3)40mL Voa's 8260 HCl Seq Gasoline, BTEX, Fuel <br /> IOxy's, 1,1-DCA, 1,2-DCA <br /> ------- ---- -- -_ - — - - ----- --- ----—� —i <br /> ' t�77- <br /> ther Notes <br />