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1 <br /> SLAES EovironmentaiManagement,Inc GROUNDWATER SAMPLING FORM <br /> ' 1433 Narth Third Avenue <br /> Phoenix,Arizona 85003 Well NO MW-3C <br /> ANK02-728-0707 <br /> Well Type ■ Monitor ❑ Remedial-VE AS <br /> Ite ID U-Haul #709-50 ❑ Other <br /> ' Protect No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By S 1, ❑ Other <br /> ' I _ WELL PURGING <br /> Purge Volum Purge Date JPurge Method <br /> Casing Diameter(D)in inches <br /> i ❑ Bailer-Type <br /> 2-inch ❑ 4-inch ❑ 6 inch ❑ Other Submersible E] Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 100 ❑ Other <br /> ' Water Level Depth(WL in feet BTOC) Pump intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> Near Bottom ElNear Top F-1Other3 ❑ 4 L] 5 El Other Depth in feet(BTOC) <br /> ' Purge Volume Calulation Screen Interval in Feet(BTOC) from 75 <br /> 100 — 2 to 100 <br /> �U 2 x X 3 X 00409 gallons <br /> TD(Feet) WL(feet) D(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start 10 L G Stop 10'y y Time Elapsed Initial gpm Z 3 gallons <br /> ' Field Parameter Measurements Final gpm <br /> Time Gallons Purged DO% DO(mglL) Cond 1 Cond 2 Salinity Temp Notes <br /> (umhoslcm) (umhoslcm) <br /> a 0-5 -t-S`I 815` o,-r 2),'--( <br /> 10 39 10 C.L O,s.S- 4-,S;- F2Z) 0,Y zi D <br /> 10 38 x ) 5- 13 C7 ( 16 -�-s5 $Z2 0�'l 21 u <br /> 0 ,q-L 2v ',8 v $9- 7-6 l 82 K 0,q 0 <br /> 1 <br /> Observations During Purging(well Condition,Turbidity,Color, Odor,etc L er-+r St }{c cdcr <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 analysisldisposat <br /> WELL SAMPLING <br /> ' Sampled By GE Sampling Date 1 -1116105- ISampling Time__J JZ og' <br /> Sampling Method Water Level Before Sampling(in feet BTOC) <br /> 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 Comments <br /> (1) 1 L Amber 8015 None Diesel <br /> 40r <br /> MW-3C - _ (3) nL Voa's - 8015 _ - -_HC1 I 5eq I Gasoline <br /> ' (3)40mL Voa's 8260 HCl BTEX, Fuel Oxy's, 1,1- <br /> To <br /> DCA, 1,2-DCA <br /> ther Notes <br />