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' BLAES Euvirart <br /> mentatManagement,lnc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-5C <br /> 642-72$-0707 <br /> Well Type ■ Monitor ❑ Remedial-VE AS <br /> Site 1D U-Haul #709-50 ❑ Other <br /> Project No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By Greg Coffin ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date t4{ 3Purge Method <br /> Casing Diameter(D)in inches ❑ Bailer-Type <br /> 1 0 2-inch ❑ 4-inch ❑ 6-inch ❑ Other ■ Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 90 ❑ Other <br /> Water Level Depth(WL In feet BTOC) -7-7 Pump Intake Setting <br /> ' Number of Well Volumes(#Vols)to be Purged <br /> Near Bottom El Near Top ❑ Other <br /> E 3 ❑ 4 ❑ 5 ❑ Other Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 70 <br /> � f1 2 to 90 <br /> 3 ` gallons <br /> 90 J 2 <br /> TO(feet) __W feet X X X Q Q409 = 7 <br /> ( ) D(inches) #Vols Calculated Purge Volume <br /> Pump TimePurge Rate Actual Purge Volume <br /> Start 17 z Z Stop (7' 7T Time Elapsed Z l .,,, Initial gpm 1'3 gallons <br /> ' field Parameter Measurements Final gpm <br /> Time Gallons Purgedl DO% DO(mglL) (uCond m) (u Cond sl m) Salinity Temp Notes <br /> ' 17 f 7 `3 v �� v u.� `7r 7 -7 `I D 7 i <br /> l 7 LZ_ r) 0 J �A i� 3 � 0 e, 5- <br /> 17-,, 2-+ <br /> - <br /> 17-; 2+ 9 v v ✓O qC6 I ZZ 3 <br /> i t -7 zz t '3 t] a 11) L? 3C `i 104- 04 <br /> ZZ �S <br /> I I <br /> Observations During Purging(well Condition,Turbidity,Color Odor,etc <br /> Purge Water StoragelDisposal ❑ Drum(s),Number ❑ Storm Sewer ❑ Sanitary Sewer - <br /> Other/Comments Purge water contained in on-site 1,000 gallon poly tank pending analysts/disposal <br /> WELL SAMPLING <br /> Sampled By---] GC - - Sampling Date Ssf 71 )t Sampling Tune <br /> ' Sampling Method Water Level Before Sampling(in feet BTOC) <br /> 0 Bailer-Type 3' Disposable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> Sample No I TContainers,Vol,# -Analysis -, Preservative Lab Comments �- <br /> -(1) 1 L Amber 8015 I None Diesel <br /> MW-5C I -(3)40mL Voa's —I 8015 HCI __ Seq Gasoline <br /> (3)40mL Voa's 8260 I HCl I BTEX, Fuel Oxy's, 1,1- <br /> ----- ------- -- — __ I DCA, 1,2-DCA <br /> Other Notes <br />