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BL.AES EnAmarnentalManagemenylnc GROUNDWATER SAMPLING FORM <br /> ' 1433 North Third Aveane <br /> Phoenix,Arizona 85003 Well Na MW-7C <br /> 402-728-0707 <br /> Wel!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 <br /> ❑ Other <br /> L WELL PURGING <br /> Purge Volume Purge Date (, FPurge Method__J <br /> ' Casing Diameter(D)in inches � <br /> F] ❑ Bader-Type <br /> 2-inch a 4-inch ❑ 6-inch [:] Other <br /> Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet STOC) 85 ❑ Other <br /> ' Water Level Depth(WL in feet BTQC) �_ �� Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> 3 [3 4 [_1 5 1:1 Other 0 Near Bottom El Near lop El Other <br /> Depth in feet(STOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTQC) from 60 <br /> Ile <br /> 4 2 to 85 <br /> C TD(feet) try! fetX X 3 X 0 0409 = f fJ gallons <br /> ' ) D(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> ' Start Stop Time Elapsed Initial gpm gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons Purged DO% DOm !L Cond 1 Cond 2 <br /> ( g } (umhoslcm) (umhos/cm) Salinity Temp Notes <br /> tr( lJ!w. ea �4vv o-'yrs Grp <br /> 7,,, <br /> i <br /> ' Observations 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 /> Sampled By Sampling Date (,J f Sampling Time <br /> Sampling Method Water Level Before Sampling(In feet BTQC) <br /> E Bailer-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 A' Comments <br /> (1) 1 L Amber 8015 None _Diesel_T _ <br /> ' MW-7C (3)40mL Voa's 8260 HCl Seq Gasoline, STEX, Fuel <br /> Oxy's, 1,1-DCA, 1,2-DCA <br /> Other Notes <br /> s <br />