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' B A <br /> L ES Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Wel! No MW-6C <br /> 642-728-4707 <br /> Well Type ■ Monitor ❑ Remedial-VF AS <br /> Ite ID U-Haul#709-50 ❑ Other <br /> ' Project No 002-70950-04 Well Material ■ PVC E3 St Steel <br /> Recorded By Grea Coffin ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date t, Purge Method <br /> Casing Diameter(D)in Inches ❑ Bailer-Type <br /> 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) U K�-, v t Pump Intake Setting <br /> I Number of Well Volumes(#Vols)to be Purged <br /> 3 ❑ 4 ❑ 5 ❑ Other E blear Bottom ❑ Near Top ❑ Other <br /> Depth in feet(BTOC) <br /> Purge Volume Cafulation Screen Interval in Feet(BTOC) from 70 <br /> z to 90 <br /> TD(Great) WL(fe i}t X o(2ches) X v 3 X 0 0409 = I �7 gallons <br /> Calculated Purge Volume <br /> Pump Time Purge Rate JActual Purge Volume <br /> Start 10-35- Stop )0,5q Time Elapsed Initial gpm 13 gallons <br /> ' Field Parameter Measurements Final gpm <br /> Time Galion Purged DO% DO(mglL) Cond 1 Cond 2 Salinity Temp Notes <br /> (umhoslcm) (umhoslcm) <br /> ! 0 3q 73 16T+ 1159 006 21 8 <br /> 101147- b 1019$ 11_�'Z m•6 21.5 <br /> lows 9 lo9,4- 1¢-�y 6.6 Z1.6 <br /> to qg 13 1a�r� 11 6 a,6 <br /> I <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 Sampling Time <br /> Sam )ling Method Water Level Before Sampling(in feet BTOC) _ Ott <br /> E Bailer-Type 3' DIS osable ❑ Same as Above <br /> ' ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> Sample No _ - Containers Vol,# - Analysis_ i_ Preservative Lab ,_ _ Comments <br /> (1) 1 L Amber__ 8015 None Diesel <br /> MW-6C (3) 40mL Voa's f 8015_ 1 HCli Seq �—�---Gasollne <br /> ' (3) 40mL Voa's 8260 HC! BTEX, Fuel Oxy's, <br /> ----- DCA, 1,2-DCA <br /> 0ther Notes <br />