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1 <br /> SLAES Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-4C <br /> 682-728-0707 <br /> Well Type ■ Monitor ElRemedial -VE AS <br /> Site ID U-Haul#709-50 ❑ Other <br /> Project No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By Gre Coffin ❑ Other <br /> `�_ WELL PURGING J <br /> Purge Volume Purge Date I Purge Method <br /> Casing Diameter(D)in inches El Bailer-Type <br /> i ' 0 2-inch [] 4-inch ❑ 6-inch [:] Other E Submersible E] Submersible Whale <br /> Total Depth of Casing(TO in feet BTOC) 88 ❑ Other <br /> Water Level Depth (WL in feet BTOC) <br /> Pump Intake Settmg I <br /> Number of Well Volumes(#Vols)to be Purged <br /> 03 ❑ 4 ❑ 5 ❑ Other E Near Bottom ❑ Near Top ❑ Other <br /> Depth in feet(BTOC) <br /> i , Purge Volume Calulation Screen Interval in Feet(BTOC) from 68 <br /> (f X <br /> 2 to 88 <br /> — Z,3}1 2 X 3 X 0 0409 = f ,5�p <br /> TD(feet) WL(feet) J D(inches) #Vols Calculated Purge Volume <br /> gallOrtS <br /> Pump Time IPurge Rate lActual Purge Volume <br /> Start 39 Stop q 53 Time Elapsed Initial gpm gallons <br /> I <br /> 1 Field Parameter Measurements I <br /> Final gpm <br /> Time Gallons Purged DO% DO(mglL) Cond 1 Cond 2 Salinity Temp Notes <br /> (umhosvcm) (umhoslcm) <br /> 13 Z ),1F 'r 0 7-r,3 <br /> Observations During Purging(well Condition,Turbidity, Color, Odor,etc f Iq� E <br /> ' pcur <br /> Purge Water StoragelDisposal Drum(s),Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> Other 1 Comments Purge water contained in on-site 1,000 gallon poly tank pending analysis/disposal <br /> WELL SAMPLING <br /> ' Sampled By -Ge-. S W Sampling Date tl v Sampling Time I <br /> Sampling Method I Water Level Before Sampling(in feet BTOC) <br /> 0 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_ _ Dlesef <br /> MW-4C (3)40mL Voa's 8015 _HCl Seq Gasoline <br /> (3)40mL Voa's 8260 HCl ST:_X, Fuel Oxy's, 1,1- <br /> _ _ _ _ __ --_-- _-- DCA, 1,2-DCA <br /> ' Other Notes <br />