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1 <br /> ;1433 <br /> AES Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> ' North Third Avenue <br /> enix,Arizona 85003 Well No MW-4g728-0707 <br /> Well Type ■ Monitor 0 Remedial -VE AS <br /> e ID U-Haul #709-50 ❑ Other <br /> Project No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By S Wc¢��(i � f l _ ❑ Other <br /> lWELL PURGING <br /> Purge Volum (Purge Date 7 Purge Method <br /> 1 Casing Diameter(D)in inches ❑ Bader-Type <br /> 0 2-inch ❑ 4-inch ❑ 6-inch ❑ Other Submersible Submersible Whale <br /> ❑ <br /> Total Depth of Casing(TD in feet BTOC) 70 ❑ Other <br /> Water Level Depth(WL in feet BTOC) ` �� pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> 3 [:J 4 ❑ 5 1:1 Other E Near Bottom [:1 Near Top ❑ Other <br /> Depth in feet(BTOC) <br /> Purge Volume Calulahon Screen Interval in Feet(BTOC) from 45 <br /> r22 to 70 <br /> ` <br /> 70 <br /> feet WL(feet) <br /> x X 3 X 0 0409 = �0� �q gallons <br /> TD <br /> (feel) ( ) O(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start 1100 Stop Time Elapsed Initial gpm O gallons <br /> Field Parameter Measurements Final _qpm <br /> ' Time Gallons Purged DO% DO(mglL) Cond t Cond 2 Salinity Temp Notes <br /> (umhos/cm) (umhos/cm) <br /> I ate D N­4 N Alli IY,4 A14 h/r4 <br /> Z2 S <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 By S. Woc%-[k..,1J _ Sampling Date I 911,r/o5— ISampling Time I F,/;;I- <br /> Sampling Method Water Level Before Sampling(in feet BTOC) <br /> Bader-Type 3' Disposable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> ' Sampling Distribution sample renes __ _ _ _ --Comments-------� <br /> _Sample No Containers,Vol,# Analysis Preservative _Lab _ <br /> (1) 1 L Amber 8015 None _ Diesel <br /> MW-413 (3)40mL Voa's 8260 HCI Seq Gasoline, BTEX, Fuel <br /> Oxys, 1,1-DCA, 1,2-DCA <br /> Other Notes <br />