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SLAES Environme.t.]Management,lac GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue Phoenix,Arizona 85003 Well No MW-4C <br /> 02-718-0707 <br /> Well Type ■ Monitor ❑ Remedial-VE AS <br /> ' ite ID U-Hata! #709-50 ❑ Other <br /> Project No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By S vvc,// ,i / ❑ Other <br /> IL WELL PURGING <br /> Purge Volume Purge Date Purge Method <br /> 1 Casing Diameter(D)in inches ❑ Bader-Type <br /> N 2-inch ❑ 4-inch ❑ 6-inch ❑ Other 0 Submersible ❑ Submersible Whale <br /> Total Depth or Casing(TD in Feet BTOC) 88 ❑ Other <br /> Water Level Depth(WL in feet BTOC) Sp 61f Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> � 3 ❑ 4 [:] 5 E] Other N Near Bottom El Near Tap ❑ Other <br /> Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 68 <br /> 88 — 2 to 88 <br /> TD(feet) w(feet) X D t2�he�) X #Vols X 00409 = �.6 gallons <br /> Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start f 0,38 Stop Time Elapsed Initial gpm f q - gallons <br /> Field Parameter Measurements Final gpm <br /> ' Time Gallons Purged DO% DO(mg/L) { Cond 1 Co Salinity Temp Notes <br /> umhoslcm) (u ) <br /> I c� 33 0 N44 N+4 <br /> /a S /0.3 a ZZ S <br /> �0 `,6 /6 3 O 6`/ 2-2 -p <br /> /0 so J_�— �,Y o, 3 z/ <br /> I10!5--3 o.-�Ly 2) <br /> Observations During Purging(well Condition,Turbidity,Color,Odor,etc <br /> ' Purge Water Storage/Disposal ❑ Drum(s) Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> Other 1 Comments Purge water contained in on-site 1,000 gallon poly tank pending analysis/disposal <br /> WELL. SAMPLING <br /> SampledBy S. U occt i.tl Sampling Date 6//s 16s Samplrng Time 8 0� <br /> Sampling Method Water Level Before Sampling(in feet STOC) <br /> Bailer-Type 3' Dis osable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution sample Series <br /> Sample No Containers Vol,# Analysis Preservative Lab _ Comments <br /> (1) 1 L Amber 8015 None - <br /> MW-4C - - - - Se G <br /> (3)40mL Voa's 8260 HCI q asoline, BTEX, Fuel <br /> EOxy's, 1,1-DCA, 1,2-DCA <br /> Other Notes <br />