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BLAES Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> ' 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-3C <br /> 602-728-0707 <br /> Well Type ! Monitor 13 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 Grea Coffin <br /> ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date Yl;, t 0-1 Purge Method <br /> Casing Diameter(D)in inches ❑ Bailer.Type <br /> r 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) `{7 _ Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> r 3 [:14 El 5 1:1 Other E Near Bottom [:1 Near Top [:1 Other <br /> Depth in feet(BTOC) <br /> r Purge Volume Calulation Screen Interval in Feet(BTOC) from 75 <br /> 100 -- b K7 2 2 3 to 100 <br /> TD{feet} WL{feet) X D(inches) X #vols X 0 0409 = fF 6 G'S gallons <br /> Calculated Purge Volume <br /> Pump Ttme Purge Rate JActual Purge Volume <br /> Start - r'T- Stop 1 1'$ Time Elapsed Z:r initial <br /> gpm t'] gallons <br /> Field Parameter Measurements Final gpm <br /> Time 'Gallons Purged' 00% Dp /L m Cond 1 Cond 2 <br /> { 9 ) Salinity Temp Notes <br /> (umhos/cm) (umhoslcm) <br /> �GYf— O <br /> k l7_ 0 v - - <br /> --� ' S 1"f to J U 0b 4-0,7G 7; U i Lr t C <br /> Observations During Purging(well Condition,Turbidity,Color,Odor,etc — <br /> Purge Water Storage/Disposal ❑ Drum(s),Number ❑ Storm sewer ❑ Sanitary Sewer - <br /> Other I Comments Purge water contained in on-site 9,000 gallon poly tank pending analysis/disposal <br /> WELL SAMPLING <br /> Sampled By GC ISampling Date I '::61_51103 ISampling Time <br /> Sampling Water Level Before Sampling(in feet BTOC) q <br /> r 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,# JAnalysis j Preservative Lab Comments <br /> (1) 1 L Amber 1-0 0 15 j None Diesel <br /> (3) 40moa's <br /> MW-3C � L V ' 8�0�1�6HCl Sea Gasoline <br /> (3) 40mL Voa's 8260 HCI BTEX, Fuel Oxy's, <br /> DCA, 1,2-DCA <br /> Other Notes <br />