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' BLAE'S EDvir <br /> onmentai Management,Inc GRQUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Aruooa 85043 Well No MW-fib <br /> 602-718-0707 <br /> Well Type ■ Monitor ❑ Remedial-VE AS <br /> Ite ID U-Haul #709-50 ❑ Other <br /> ' Project No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By Gre i Coffin ❑ Other <br /> 1 WELL PURGING <br /> Purge Volume Purge Date x(71 p./ Purge Method <br /> Casing Diameter(D)in inches ❑ sailer-Type <br /> ' 2-inch ❑ 4-inch ❑ 6-inch ❑ Other Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 72 ❑ Other <br /> Water Level Depth(WL in feet BTOC) �, bZ <br /> ' Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> 3 El 4 [:15 ❑ Other 0 Near Bottom ❑ Near1'op El Other <br /> Depth in feet(BTOC) <br /> Purge Volume Calulatlon Screen Interval in Feet(BTOC) from 52 <br /> 2 to 72 <br /> TO(2feet) wb(feet),� X 2 X 3 X 0 0409 T > 16Lgallons <br /> D(inches) #Vols Calculated Purge Volume <br /> 1 Pump Time Purge Rate JActual Purge Volume <br /> Start 10 T-r Stop 11,0b Time Elapsed Initial gpm gallons <br /> ' Field Parameter Measurements Final gpm <br /> Time Gallons Purged 110% DO(mglt) uCond Cond 2 Safinity Temp Notes <br /> ( m) (umhoslcm) <br /> ! ' <br /> to 5-9N'4 N6 11y 110 1200.6 22- <br /> r IC ie" 9 Jes r -S <br /> i� ob Y Ni4 Nf} l/ 3� /l96 O.6 I 22 2 t.1e.1•,• -'V. I .fHe 4t <br /> Observations During Purging(well Condition,Turbidity,Color,Odor,etc <br /> - Purge Water Storage/Disposal ❑ Drum(s) NumberSewer Storm <br /> ❑ ❑ Sanitary Sewer <br /> ' Other/Comments Purge water contained in on-site 1,000 gallon poly tank pending analysis/disposal <br /> WELL SAMPLING <br /> Sampled By GC Sampling Date /b1( Sampling Time ! <br /> ' Sampling Method Water Level Before Sampling(in feet BTOC) t( t 7 <br /> Bailer-Type 3' Disposable _ ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> 1 Sample No_— h Containers,Vol,# Analysis _ Preservative I Lab _ Comments <br /> (1) 1 L Amber I 8015None i Diesel <br /> MW-6B iu (3) 40mL Voa's` 8015 i HCI __ 5e Gasoline <br /> r I (3) 40ML Voa's 1 8260 1 HCI q BTEX, Fuel Oxy's, 1,1- <br /> DCA, 1,2-DCA <br /> Other Notes -- —_ — <br />