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r <br /> SLAES EnvironmentalManageinent,inc GROUNDWATERSAMPLING FORM <br /> ' 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-2B <br /> 2 728-4707 <br /> Well Type ■ Monitor ❑ Remedial-VE AS <br /> ' ite ID U-Haul#709-50 ❑ Other <br /> Project No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By S w16'd CLI' i+l ❑ Other <br /> r — — — WELL PURGING <br /> Purge Volume Purge Date JPurge Method <br /> Casing Diameter(0)in inches ❑ Bader-Type <br /> N 2-inch [] 4-inch ❑ 6-inch ❑ Other Submersible ❑ Submersible Whale <br /> Total Depth of Casing (TD in feet BTOC) 77 ❑ Other <br /> r Water Level Depth(WL in feet BTOC) Sb pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> r Near Bottom El Near Top [:1 Other <br /> 03 ❑ 4 ❑ 5 ❑ Other Depth in feet(BTOC) <br /> r Purge Volume Calulation Screen Interval in Feet(BTOC) from 52 <br /> z to 77 <br /> r 77 SU`7S X 2 X 3 X 0 0409 = 12-, ?4 gallons <br /> [` TD(feel) WL(feet) D{inches) #Vols <br /> Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Voiume <br /> Start /Z 0(d Stop Time Elapsed Initial gpm (3 gallons <br /> Field Parameter Measurements I <br /> Final gpm <br /> ' Time Gallons Purged DO% DO(mg1L) Cond 1 Cond 2 Salinity Temp Notes <br /> (umhoslcm) (umhos/cm) <br /> A/)g /V It /V1- /Uri NUJ /Vl f <br /> ' 1Z. 11 5 y' Z 0,3L z2 3 <br /> 1Z, )-s-- )0 S-. 1 0'44 22. 1 <br /> IZ le 13 . Z 22 2 <br /> rObservations During Purging(well Condition Turbidity,Calor,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 /> rSampled By 5, L✓peA�1 _ Sampling Date r a5` Sampling Tlme $ <br /> Sampling method Water Level Before Sampling(in feet BTOC) <br /> r r Bader-Type 3' Disposable ❑ Same as Above <br /> ❑ Submersible ^❑ Whale ❑ Grab Type <br /> ❑ Other ❑ Other-Type <br /> rSampling Distribution Sample Series <br /> _ <br /> Sample No Containers,Vol ,# Analysis Preservative Lab Comments <br /> F (1) 1L Amber 8015 None _ _Diesel _ <br /> ---MW-2B (3)40mL Voas 8260 HCI- --'- _Seq Full Llst+ Fuel Oxy's&Gasoline <br /> --i ---- Ga -------- <br /> rOther Notes <br />