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1 <br /> BLAS$ Environmental Management,Inc GROUNDWATI`R SAMPLING FORM <br /> ' 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-1C <br /> 02-728-0707 <br /> Well Type ■ Monitor ❑ Remedial -VE AS <br /> ' Slte ID U-Haul #709-50 ❑ Other <br /> Project No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date Purge Method <br /> ' Casing Diameter(D)in inches T� <br /> E] Bailer-Type <br /> 0 2-inch ❑ 4-inch [] 6-inch [] Other <br /> Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 100 ❑ Other <br /> ' Water Level Depth(WL in feet BTOC) 4"7-5- <br /> Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> 3 ❑ 4 [_1 5 1-1 Other E Near Bottom F-1 Near lop [:1 Other <br /> Depth in feet(BTOC) <br /> ' Purge Volume Calulation Screen Interval in Feet(BTOC) from 75 <br /> 2 to 100 <br /> 100 — L� 1 X 2 X 3 X 0 0409 = Z y,Y 2 gallons <br /> eTD(feet) WL(feet) J D(inches) #Vols Calculated Purge Volume <br /> Pump TimePurge Rate Actual Purge Volume <br /> ' Start s Stop Time Elapsed Initial gpm Z gallons <br /> Field Parameter Measurements Final gpm <br /> ' Time Gallons Purged DOS DO(mg1Q Cord 1 Cond 2 Salinity Temp Notes <br /> (umhoslcm) (umhos/cm) <br /> I S 1D N4 N1¢ N✓f IV4 Alf} Al.9 <br /> ' 2 uL .5' $,Z 0,72- 2Z <br /> z o(, jo 0, 6 ( z2 0 <br /> 2, 10 is- 0,4-S ZZ.o <br /> z - ,y Z:o �3 0,(,3 Zr f( <br /> 2 18 ts- a 66 1 1 1 ?-A9 <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— �o��l�►.�C� Sampling Date E/1 S' oS Sampling Time 1.'p3 <br /> Sampling Method Water Level Before Sampling(in feet STOC) <br /> ' E Bailer-Type _ 3' Disposable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> 1 Sampling Distribution —Sample Series-Sample No No Containers,Vol,# Analysis Preservative Lab Comments <br /> (1) 1LAmber 8015 None �� Diesel � - <br /> ' MW-1 C (3)40mL Vita's 8260 HCI Seq Gasoline, BTEX, Fuel <br /> Oxy's, 1,1-DCA, 1,2-DCA <br /> ' Other Notes <br />