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i � 1 BLAES $nviroomental Management,Inc GROUNDWATER SAMPLING FORM 1433 North Third Avenue Phoenix,Arizona 85003 Well No MW-8C 2-728-0707 Well Type ■ Monitor ❑ Remedial-VE AS ite ID - U-Haul 009-50 13Other Project No 002-70950-04 Well Material ■ PVC 0 St Steel Recorded By C- ❑ Other ' _ WELL PURGING Purge Volume _� Purge Date ��t� - Purge Method ' Casing Diameter(D)in inches ❑ Bader-Type ❑ 2-inch N 4-inch ❑ 6-inch ❑ Other Submersible ❑ Submersible Whale Total Depth of Casing(TD in feet STOC) 85 ❑ Other ' Water Level Depth(WL in feet BTOC) ��b Pump Intake Setting Number of Well Volumes(#Vols)to be Purged Near Bottom [_1 Near Top ❑ Other N 3 ❑ 4 115 ❑ Other Depth in feet(STOC) ' Purge Volume Calulalion Screen Interval in Feet(BTOC) from 60 2 to 85 TD(feet) WL(feet) ) X D(inches) X #Vols X 0 0409 = lo<a L`I gallons ' Calculated Purge Volume Pump Time Purge Rate Actual Purge Volume ' Start 1 t'" Stop JL- 73�a Time Elapsed Initial Spm gallons Field Parameter Measurements Final gpm ' Time Gallons Purged DO% DO(mglL) Cond 1 Cond 2 Salinity Temp Notes (umhoslcm) (umhoslcm) fl'YZ :l `3 1s r 11(,7 lz zz 6D z3 aU ;t s�5 \z 3z p z I. 9 ' 1 7-1 Z q o to 6 1Z3Q D L, Z t ' Observations During Purging(well Condition,Turbidity,Color, Odor,etc V'. ' Purge Water Storage/Disposal ❑ Drum(s),Number ❑ Storm Sewer ❑ Sanitary Sewer Other 1 Comments Purge water contained in on-site 1,000 gallon poly tank pending analysis/disposal WELL SAMPLING ' Sampled By f Sampling Date Lborzyc Sampling Time 7 -C-b Sampling Method Water Level Before Sampling(in feet BTOC) ' E Bailer-Type __3' Disposable ❑ same as Above ❑ Submersible ❑ Whale ❑ Grab--type ❑ Other ❑ Other-Type Sampling Distribution Sample Series — — Sample No Containers,Vol,# _Analysis Preservative Lab Comments (1) 1 L Amber_ 8015 None blew_ _ ' MW-8C Seq Gasoline, BTEX, Fuel (3)40mL Voa's 8260 HCf Oxy's, 1,1-DCA, 1,2-DCA Other Notes - ---- - -__--