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BLAES Environmental GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Aromna 85003 Well No MW-2C <br /> 602-728-0707 <br /> Well Type ■ Monitor © Remedial-VE AS <br /> ite ID U-Haul #709-50 El Other <br /> ' Protect No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By Gre i Coffin ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Daterrc� Purge Method <br /> Casing Diameter(D)in inches ❑ Bailer-Type <br /> 2-inch ❑ 4-inch ❑ 6-inch ❑ Other Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 100 ❑ Other <br /> Water Level Depth(WL in feet BTOC) (Dik 9-7 pump lntake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> Near Bottom El Near Top ❑ Other <br /> ■ 3 ❑ 4 ❑ 5 ❑ Other Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 75 <br /> 100 2 to 100 <br /> TD(feet) w�(F �3 X 2ahas) X #vols X 0 0409 = 72- 1 gallons <br /> D( <br /> ' Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start //'r 3' Stop �M3s'- Time Elapsed ZZ._ Initialm <br /> 9P 1 7� gallons <br /> Field Parameter Measurements Final gpm <br /> Time Cond 1 Cond 2 Gallons Purged, b0% DO(mglL) (umhoslcm) (umhoslcm) f Salinity Temp I Notes <br /> C7 D <br /> �� �v • i1 r ?rte I a C(.z-- -'/,p � <br /> 1 ' <br /> Z6 c p u v P0 E 0q-? 0 5' ( Z - <br /> It' r/�'j z I� I <br /> 1 <br /> It 3:.T- e 7 <br /> Observations During Purging(well Condition,Turbidity,Color,Odor,etc <br /> Purge Water Storage/Disposal ❑ Drum(s),Number —❑ Storm Sewer ❑ Sanitary Sewer <br /> ' Other/Comments Purge water contained in on-site 9,000 gallon poly tank pending analysts/disposal <br /> WELL SAMPLING <br /> Sampled By GC ISampling Date `�f ? Sampling Time -3� <br /> Sampling Method Water Level Before Sampling(in feet BTOC) 6q F b <br /> Bailer-Type 3' DIS osable ❑ Same as Above <br /> I ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution I Sample Series <br /> Sample No Containers,Vol,# Analysts Preservative Lab Comments <br /> (1) 1 L Amber 8015 None Diesel <br /> MW-2C (3) 40mL Voa's 8015 Seq Gasoline <br /> (3) 40mL Voa's 8260 HCl Full List+ Fuel Oxy's <br /> Other Notes <br />