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LA Env�ronmeotaiManagement,Ioc GROUNDWATER SAMPLING FORM <br /> 1 5433 North Third Avenue MW-3C <br /> Phoenix,Arizonz 85003 Well No <br /> 02-728-0707 <br /> Well Type ■ Monitor ❑ Remedial-VE AS <br /> Site ID - U-Haul #709-50 ElOther <br /> Project No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By C11� ❑ Other <br /> ' WELL PURGING <br /> Purge Volume Purge Date JPurge Method <br /> Casing Diameter(D)in inches ❑ Bader-Type <br /> E 2-inch ❑ 4-inch ❑ 6-inch ❑ Other Submersible ❑ Submersible Whale <br /> Total Depth of Casing JD in feet BTOC) 100 ❑ Other <br /> Water Level Depth(WL in feet BTOC) S7 Vs pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> N Near Bottom ❑ Near Top [:1 Other <br /> 0 3 ❑ 4 ❑ 5 ❑ Other Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 75 <br /> to 100 <br /> 100 — S7 rr� X 2 2 X 3 X 0 0409 = L Y p i gallons <br /> TD(feet) WL(tett) D(inches) #Vols Calculated Purge Volume <br /> ' Pump Time iPurge Rate Actual Purge Volume <br /> t Start I_�C Stop Time Elapsed Initial gpm Z. q gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons Purged DO% DO(mg/L) (uCond m) (uCond m) Salinity Temp Notes <br /> 0-7 Z4 S 'go 7 Y q 7S7 0 7 4L,-Z- <br /> (7- <br /> z(7- t 7-`7 7 Z is l 71-z'- 7C7_r� U r it z r Sp <br /> LY 177 �- �� 74 `7 v <br /> Observations During Purging(well Condition Turbidity,Color Odor,etc <br /> ' Purge Water StoragelDisposal [] 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 B G C� Sampling Date Sampling Time 7- <br /> Sampling Method Water Level Before Sampling(in feet BTOC) <br /> 0 Bailer-Type 3' Disposable __ _ ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> 1 Sampling Distribution Sample Series <br /> _Sample No Containers,Vol,# Analysis Preservative Lab Comments <br /> - - (1) 1 L Amber 8015 None Diesel <br /> MW-3C {3)40mL Voa's 8260 HCI Seq i Gasoline, BTEX, Fuel <br /> 10xy's, 1,1-DCA, 1,2-DCA <br /> Other Notes <br />