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' BLAES Environm <br /> entalM2nagement,Ioc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> ' Phoenix,Arizona 85003 Well No MW-113 <br /> 2-728-0707 <br /> Well Type ■ Monitor ElRemedial-VE AS <br /> 460ite <br /> ID U-Haul 4709-50 ❑ Other <br /> Project No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By Gre I Coffin ❑ Other <br /> ' WELL PURGING <br /> Purge Volume Purge Date �T(� _ Purge Method <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) (o-3 `- `7 Pump Intake Setting <br /> Number or Well Volumes(#Vols)to be Purged <br /> 3 El 4 ❑ 5 ❑ Other 0 Near Bottom El Near Top ❑ Other <br /> Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 52 <br /> 2 to 77 <br /> TD(feet) WL{feet X D(2ches) X �Vols Calculated <br /> 00409 = t® �i gallons <br /> Calculated Purge Volume <br /> Pump TimePurge Rate Actual Purge Volume <br /> t <br /> Start /G� dL Stop f D S-C Time Elapsed ,,,_. ,, Initial gpm —7 gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons Purged' DO% DO !L m Cond 1 Cond 2 <br /> ( 9 ) Salinity Temp Notes <br /> (umhoslcm) (umhoslcm) <br /> rV yr L C5 U t7J S`// 1 pr)T J S Z! � ••' }� <br /> f L-3 <br /> Observations During Purging(well Condition,Turbidity,Color,Odor etc <br /> Purge Water Storage/Disposal ❑ Drum(s),Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> IOther/Comments Purge water contained In on-site 1,000 gallon poly tank pending analysts/disposal <br /> WELL SAMPLING <br /> Sampled By GC Sampling Date �( 1 6� Sampling Time �p <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,# j Analysis i--�Preservative - — Lab Comments <br /> (1) 1 L Amber _ 8015 _None I Diesel <br /> MW-1 B (3)40mL Voa's 8015 HCI �I Se Gasoline <br /> ' 4 BTEX, Fuel Oxy's, 11- <br /> , <br /> (3)40mL Voa's ! 8260 HCI <br /> —�--- — _-- I DCA, 1,2-DCA__ <br /> Other Notes <br />