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BLAES Ennroamental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> ph <br /> 4; <br /> 85003 Well No MW-9B <br /> 02-728-0707 <br /> Well Type ■ Monitor 11 Remedial-VE AS <br /> Site ID U-Haul #709-50 ❑ Other <br /> Protect No 002-70950-04 Well Material ■ PVC 0 St Steel <br /> Recorded By 1;req-6 - Sit. ❑ Other <br /> _WELL PURGING <br /> Purge Volume—J jPurge Date I Purge Method I <br /> Casing Diameter(D)in inches ❑ Bailer-Type <br /> N 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 /> Near Bottom [I Near Top [I Other <br /> E 3 [-14 ❑ 5 ❑ Other Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 52 <br /> 2to 77 <br /> 77 — 5Z1 Z 1 X 2 X 3 X 0 0409 = �Z.Zl _ gallons <br /> Tp(feet) WL(feet) J D(inches) #Vols Calculated Purge Volume <br /> Pump Time I jPurge Rate Actual Purge Volume <br /> Start 3,3b Stop _3 1,7 Time Elapsed Initial gpm /Z, gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons Purged DO%, DO(mg/L) Cond 1 Cond 2 Salinity Temp Notes <br /> (umhoslcm) (umhos/cm) <br /> 0,31 josq tl s-y 0 e zz G <br /> 3 yy = -J7 s,c 01111 f01F� lis 016 21 F <br /> 3 y� IL I bS,5- )091 ►JLL 0,G Lf � <br /> Observations During Purging (well Condition,Turbidity,Color Odor,etc C,6(0,- <br /> urge <br /> dOrurge Water Storage/Disposal ❑ Drum(s), Number ❑ Storm Sewer ❑ sanitary Sewer <br /> Other 1 Comments Purge water contained in on-site 1,000 gallon poly tank pending analysistdisposal <br /> WELL SAMPLING <br /> Sampled By ISampling Date 3/IS' Sampling Time <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 /> MW-9B (3)40mL Voa's 8015 HC1 - _J Gasoline - <br /> (3)40mL Voa's Seq 8260 HCI BTEX, Fuel Oxy's, l- <br /> --- - - -- - - - --- - - - _ - - — ---__ — DCA, 1,2-DCA _ <br /> i ' Other Notes <br />