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SLAES EnvirunmentatManagement,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-68 <br /> 02-728-0707 <br /> Well Type ■ Monitor ❑ Remedial -VE A5 <br /> ite ID U-Haul #709-50 ❑ Other <br /> Project No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By <br /> ❑ Other <br /> WELL PURGING <br /> Purge Volume i urge Date Purge Method <br /> ' Casing Diameter(D)in inches ❑ Bailer-Type <br /> E 2-inch ❑ 4-inch ❑ 6-inch ❑ Other E Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 72 ❑ Other <br /> Water Level Depth(WL in feet BTOC) _ -5"( 1 b Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> 3 ❑ 4 1:15 ❑ Other E Near Bottom ❑ Near Top ❑ Other <br /> Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 52 <br /> 72 2 <br /> \ z to 72 <br /> w �( ( b J X X 3 X 00409 = 10,2-3 gallons <br /> ' TD(feet) WL(feet) J D(inches) #Vols <br /> Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start 9 lq Stop Time Elapsed Initial gpm gallons <br /> , <br /> Field Parameter Measurements Final gpm <br /> Time Gallons Purged DO% DO(mg1L) Cond 1 Cond 2 Salinity Temp Notes <br /> (umhoslcm) (umhoslcm) <br /> $ let O N19 A0 /V/`l M19 /VA /V4 <br /> ' $•34 S 1d, 6 o ql � � 213 <br /> $ 3Fr In 10 `I 0.11IZ 21 2- <br /> Observations <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 /> ' Sampled By S ( iSampling Date �//s�os Sampling Time 2S— <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 Series - <br /> Sample No Containers,Vol,# Analysis Preservative Lab Comments <br /> ' <br /> (1) 1 L Amber 8015 None _ Diesel MW-68 Seq Gasoline, BTEX, Fuel <br /> (3)40mL Voa`s 8260 HCl IOxy's, 1,1-DCA, 1,2-DCA <br /> Other Notes <br />