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BLAES EovironmeotalManagement,lnc GROUNDWATER SAMPLING FORM <br /> ' 1433 North Third Avenue <br /> Phoenix,Anzona 65003 Well No MW-413 <br /> ANK602-728470 <br /> Well Type ■ Monitor 0 Remedial -VE AS <br /> Site ID U-Haul#709-50 ❑ Other <br /> Project No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By –G S•.� ❑ Other <br /> WELL PURGING <br /> ' <br /> Purge Volume me_ Purge Date Purge Method <br /> Casing Diameter(D)in inches ❑ Bailer-Type <br /> 0 2-inch ❑ 4-inch ❑ 6-inch ❑ Other 0 Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 70 ❑ Other <br /> ' Water Level Depth(WL in feet BTOC) Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> 3 ❑ 4 E] 5 ❑ Other E Near Bottom [I Near Top ❑ Other <br /> Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 45 <br /> 2 to 70 <br /> C 70 — $' , S � 2 3 — <br /> TO feet WL feet X X X 0 0409 = S1 q 1 gallons <br /> ' (feet) ( ) D(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start Ll S9 Stop _ 0 0 Time Elapsed Initial gpm gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons Purged DO% DO(mglL) Cand 1 Cond 2 Salinity Temp Notes <br /> (umhoslcm) (umhoslcm) <br /> to 03 173 rsZ Tt:z SY 0 '{ � $ <br /> f v 0 -�- Z--2- off, 7] z Y66 04 zr, 7- <br /> Observations During Purging(well Condition,Turbidity,Color,Odor,etc G ed,, 5)"514 6C --Jo, <br /> Purge Water StoragelDisposal ❑ Drum(s),Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> Other!Comments Purge water contained in on-site 1,400 gallon poly tank pending analysis/disposal <br /> WELL SAMPLING <br /> Sampled By _ sW Sampling Date 3 Ib os Sampling Time2,y <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, <br /> Vol-,,# Analysis Preservative I Lab Comments— <br /> (1)- <br /> omments__(1) 1 L Amber 8015_ None-__ __ I Diesel _ <br /> MW-4B __ (3)40mL Voa's, - 8015 1_ _ HCl _ ! Seo Gasoline�� <br /> (3)40mL Voa's 8260 HCI <br /> BTEX, Fuel Oxy's, 1,1- <br /> -- -- — - ---- --- ---- - --- - — —=- -- ------ _ i DCA, 1,2-DCA <br /> ' Other Notes <br />