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BLAES Enviraomentai Management,Ino GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85OD3 Well No MW-10B <br /> 62-728-0707 <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 ❑ Other <br /> WELL PURGING <br /> Purge Volume (Purge Date I Ti -41r— Purge Method <br /> Casing Diameter(D)in inches �— <br /> ' 2-inch <br /> El ❑ inch [-]ch mailer_;�Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 60 ❑ Other <br /> Water Level Depth(WL in feet STOC) Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged Near Bottom <br /> E 3 ❑ 4 ❑ 5 1­71 Other &D Depth <br /> C:1 Near Tap ❑ Other <br /> Depth in feet(BTOC) + sj <br /> ' Purge Volume Caluiation Screen Interval in Feel(BTOC) from 40 <br /> to 60 <br /> 60 �' -� X 2 X 3 X 0 0409 = y rZ' gallons <br /> 1 TD(feet) WL(feet) D(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start `11q' 31 Stop Time Elapsed Initial gpm gallons <br /> ' Field Parameter Measurements Final gpm <br /> Time Gallons Purged DO% DO(mg/1.) Cond 1 Cond 2 Salinity Temp Notes <br /> (umhoslcm) (umhoslcm) <br /> i <br /> 1 <br /> 1 Observations During Purging(well Condition Turbidity,Color,Odor,etc '61 <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 lank pending analysis/disposal <br /> WELL SAMPLING <br /> Sampled By Sampling Date �Sampling Time 17'oS <br /> Sampling Method I Water Level Before Sampling(in feet BTOC) <br /> n 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 JDlesel <br /> MW-10B (3)40mL Voa's 8015 HCI Seq Gasoline -_�,_ <br /> (3)40mL Voa's 8260 HCl BTEX, Fuel Oxy's, 1,1- <br /> DCA, 1,2-DCA <br /> ' Other Notes <br />