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BLAES Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoemx,Arizona 85003 Well No MW-213 <br /> 02-7280707 <br /> Well Type ■ Monitor ❑ Remedial-VE AS <br /> ' tte ID U-Haul #709-50 ❑ Other <br /> Protect No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By 1(tj ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date �//�U Purge Method <br /> Casing Diameter(D)in inches ❑ Bailer-Type <br /> 0 2-inch [] 4-inch ❑ 6-inch ❑ Other Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 77 ❑ Other <br /> Water Level Depth(WL in feet BTOC) Pump Intake Setting <br /> Number of Well Volumes(##Vols)to be Purged <br /> 0 Near Bottom ❑ NearTnp ❑ Other <br /> 0 3 ❑ 4 [:15 ❑ Other Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 52 <br /> (f <br /> 2 to 77 <br /> S 3 iib 1 X 2 X 3 X 0 0409 rl SS gallons <br /> TO(feet) WL(teal) J D(inches) #Vols Calculated Purge Volume <br /> Pump Time JPurge Rate J JActual Purge Volume <br /> Start :35 stop Time Elapsed Initial gpm 13 gallons <br /> ' Field Parameter Measurements Final gpm <br /> 1 Time Gallons Purged DO% DO(mg]L) Cond 1 Cond 2 Salinity Temp Notes <br /> (umhoslcm) (umhoslcm) <br /> S` 3-e s y, 5 C) 31 — 20 Clecv, 5ir1�4Y Nc 'a, <br /> 3 A 10 j9 6 37- Zigf rf <br /> 13 3, k o , Z-7 Zl, I <br /> 1 <br /> 1 Observations During Purging(well Condition Turbidity,Color Odor,etc a r <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 analysisldisposal <br /> WELL SAMPLING <br /> Sampled By t Sampling Date JSampling Time <br /> Sampling Method Water Level Before Sampling(in feet BTOC) <br /> ' i Bailer-Type _3' Dlspo_Sable ❑ Same as Above <br /> ❑ Submersible ❑ Whale V Grab-Type <br /> ❑ Other ❑ Other-Type <br /> ' Sampling Distribution sample senes <br /> Sample No Containers,Vol,# Analysis Preservative- Lab Comments <br /> (1) 1 L Amber 8015 None Diesel <br /> 1 - - -MW-28 — (3)40mL Voa's_-- - 8015 HCl - — Seq - Gasoline- -- <br /> (3)40mL Voa's 8260 Full List+ Fuel Oxy's <br /> ' Other Notes <br />