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' B A <br /> L aE$ Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> ""North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-10C <br /> 4 <br /> 602-728-0707 <br /> Well Type ! Monitor 11 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 Greq Coin ❑ Other <br /> WELL PURGING <br /> Purge Volume JPurge Date p Purge Method <br /> Casing Diameter(D)in inches Bader-Type 6' PVC <br /> E 2-inch ❑ 4-inch ❑ 6-inch ❑ Other ❑ Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 845 ❑ Other <br /> Water Level Depth(WL in feet BTOC) 6 L V-7 Pump Intake Setting <br /> ' Number of Well Volumes(#Vols)to be Purged <br /> ❑ <br /> 3 [-] 4 ❑ 5 El Other Near Bottom ❑ Near Top El Other <br /> Depth in feet(BTOC) <br /> ' Purge Volume Calulation Screen Interval in Feet(BTOC) from 645 <br /> 845 — �,Z -7 2 2 3 to . 845 <br /> TO(feet) WL(feet) X X X 0 0409 = 7 !� gallons <br /> D(inches) #vols <br /> ' Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start T31 Stop q q3 Time Elapsed Initial gpm gallons <br /> ' Field Parameter Measurements Final gpm <br /> Time I Gallons Purged DO%q DO(mg/L) Cond t Cond 2 Salinity Temp Notes <br /> (umhoslcm) (umhoslcm) <br /> 9 3 3 IY N14 <br /> 13� ql$ Of q-0t,q�1 <br /> R 3 160 4Mg31 114t 112 0,s- 11.4 <br /> - q:W I I 12q 99) 0,S '71.9 <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 Isampling Date 4s(I t LD Sampling Time �� DU <br /> Sampling MetFtod Water Level Before Sampling(in feet BTOC) , Z-&b <br /> Bailer-Type 3' Disposable ❑ Same as Above <br /> ' ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> -------------------------------------- <br /> Sample No Containers,Vol,# Analysis_I Preservative Lab Comments <br /> (1) 1 L Amber 8015 -- None - <br /> _ <br /> MW-10C (3)40mL Voa's Diesel <br /> 8015 _ _HCI — Gasoline <br /> ' (3)40mL Voa's 8260 HCI Seq BTEX, Fuel Oxy's, <br /> DCA, 1,2-DCA <br /> Other Notes --- - - - ----- -- - -- -- -- - - - - --- - -- - -- <br />