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AE <br /> BL S EavironmentaiManagewent,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85403 well No MW-4B <br /> *Jte <br /> 2-72$-0707 <br /> Well Type ■ Monitor C1Remedial-VE AS <br /> ID U-Haul 009-50 ❑ 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 s/ 3/�t Purge Method <br /> Casing Diameter(D)in inches ❑ Bailer-Type <br /> E 2-inch ❑ 4-inch ❑ 6-inch ❑ Other ■ Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 70 ❑ Other <br /> Water Level Depth(WL in feet BTOC) b2 Pump intake Setting <br /> 1 Number of Well Volumes(#Vols)to be Purged <br /> Near Bottom [_1 Near Top [I Other <br /> N 3 ❑ 4 ❑ 5 ❑ Other Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 45 <br /> _ 1 to 70 <br /> (f _ t'` 3 J X 2 2 X 3 X 0 0409 = 5_Y 7 gallons <br /> TD(feet) WL(feet) J D(inches) #Vols <br /> Calculated Purge Volume <br /> Pump Time Purge Rate JACtual Purge Volume <br /> Start `� YT Stop '/' 3 Time Elapsed Initial gpm gallons <br /> Field Parameter Measurements Final qpm <br /> Time Gallons Purged D01Y. DO(mg1L) Cond 1 Cond 2 Salinity Temp Notes <br /> X (umhos/cm) (umhoslcm) — <br /> tw tv It S "' vim <br /> (,)-r7 a 97 rJ ) Zx 1 <br /> 7 Z a J �j bJ 3" �r� Zr a <br /> f J-_+ v c 94'r <br /> I I <br /> f <br /> Observations During Purging(well Condition,Turbidity,Color,Odor,etc <br /> — Purge 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 analysis/disposal <br /> WELL SAMPLING <br /> Sampled By GC Sampling Date g/z I t ISampling Time / 5- — <br /> Sampling Method Water Level Before Sampling(in feet BTOC) (17_ _q 7 <br /> Bader-Type 3' Dls osable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> —__Sample No - _ - ' Containers,Vol,# I Analysis— __—Preservatives_ Lab — Comments <br /> Amber 8015 _None _ i �_ Diesel <br /> MW-4B v (3) 40mL Voa's _� 80'15_1___ HCI Se � Gasoline <br /> ' €� (3)40rrL Voa's 8260 ' HCI f q BTE;X, Fuel Oxy's, <br /> ��_ DCA, 1,2-DCA <br /> Other Notes --- <br />