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i <br /> BLAES Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-6C <br /> Agl602-728-0707 <br /> Well Type ■ Monitor ❑ 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 Greg Coffin _ ❑ Other <br /> ' WELL PURGING <br /> Purge Volume Purge Date Purge Method <br /> Casing Diameter(D)in Inches ❑ Bader-Type <br /> ' E 2-Inch ❑ 4-Inch ❑ 6-Inch ❑ Other <br /> Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 90 ❑ Other <br /> ' Water Level Depth(WL in feet BTOC) Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> Near Bottom [I Near Top [I Other <br /> E 3 ❑ 4 ❑ 5 ❑ Other Depth in feet(BTOC) <br /> i Purge Volume Calulation Screen Interval in Feet(BTOC) from 70 <br /> rl z to 90 <br /> i { 90 — Sy'c�l J X 2 X 3 X 0 0409 = «� �� gallons` TD(feet) WL(feel) D{inches} #Vols Calculated Purge Volume <br /> Pump Time Purge Rate JActual Purge Volume <br /> Start T-421-LOP $574- Time Elapsed Initial gpm $� gallons <br /> iField Parameter Measurements Final gpm <br /> Time Gallons Purged DO% DO(mg1L) Cond t Cond 2 Salinity Temp Notes <br /> (umhoslcm) (umhoslcm) <br /> s 3 ,.s3 qY6 f40 a.s z�;y <br /> 5' SI a 133 1Dee jogs US Zt' g <br /> 79'5 IS' 130 t i} io�3 r03R 0 5 ze`T <br /> iObservations During Purging(well Condition,Turbidity Color,Odor,etc G � <br /> Purge Water Storage/Disposal ❑ Drum(s),Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> Other I Comments Purge water contained in on-site 1 000 gallon poly tank pending analysis/disposal <br /> WELL SAMPLING <br /> iSampled By - i✓ Sampling Date 3116105 Sampling Time <br /> Sampling Method Water Level Before Sampling(in feet BTOC) <br /> * Bader-Type 3' DIS osable ❑ Same as Above <br /> i ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ElOther-Type <br /> ' Sampling-Distribution- - - sample serves �- ' <br /> Sample No Containers,Vol,# Analysis Preservative ; Lab Comments <br /> (1) 1L Amber 8015 ;_ None ; Diesel <br /> MW-61C (3)40mL Voa's _ 8015 HCI _i Gasoline <br /> (3)40mL Voa's 8260 l HCI Seq BTEX, Fuel Oxy's, 1,1- <br /> % — -- ; DCA, 1,2-DCA <br /> ' Other Notes <br />