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BLAES Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> ' Phoenix,Arizona 85003 Well No MW-'A (I r- <br /> 602-728-0707 <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 Greg Coffin ❑ Other <br /> ' WELL PURGING <br /> Purge Volume Purge Date `.5/?'1/1;/ Purge Method <br /> Casing Diameter(D)in inches 0 Bader-Type 6' PVC <br /> ' N 2-inch ❑ 4-inch ❑ 6-inch [] Other ❑ Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 85 ❑ Other <br />� Water Level Depth(WL in feet BTOC) (,G_Z-tL <br /> ' — Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> ❑ <br /> 3 [_1 4 [:1 5 1:1 Other Near Bottom El Near Top ❑ Other <br /> Depth in feet(BTOC) <br /> ' Purge Volume Caluiation Screen Interval in Feet(BTOC) from 65 <br /> 2 to 85 <br /> To(feet) WL fee�� X 2 X 3 X 0 0409 = ��f� gallons <br /> ( ) O(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate JActual Purge Volume <br /> Start 1,10 Stop F:sy Time Elapsed Initialm <br /> 9p I + gallons <br /> ' Field Parameter Measurements Final gpm <br /> Time 'Gallons Purged DO% Cond 1 Cond 2 <br /> DO(mglL)t Salinity Temp I Notes(umhostem) fumhoslcm) <br /> N4 N4- 1237 I3v9 a ? Zo.9 <br /> s° Nq Ns} 1135 /34/;L 0.4- 20,E <br /> ' rZ.sZ N4 NA 1236 13`7 6.-�L 20-7- <br /> 12 3r <br /> 0.'- <br /> (xis ! <br /> Observations During Purging(well Condition,Turbidity,Color,Odor,etc <br /> i 1 <br /> Purge Water Storage/Disposal ❑ Drum(s), Number ❑ Storm Sewer ❑ 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---[__ Time J Lp to <br /> ' Sampling Method Water Levet Before Sampling(in feet BTOC r 1v 7- 7 <br /> Bader-Type 3' Disposable ❑ Same as Above <br /> ' ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> ' Sample No Containers,Val,# Analysis _ Preservative Lab I Comments 4 <br /> (1) 1 L Amber_ 1 8015 None I Diesel <br /> MW-12C L (3)40mL Voa's 8015 HCI Seq Gasoline <br /> 1 (3) 40mL Voa's 1 8260 l� HCI BTEX, Fuel Oxy's, 1,1- <br /> -_�__� DCA, 1,2-DCA_ <br /> Other Notes <br />