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BLAES Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> ' I433 North Third Avenue <br /> Phoenix,Anzona 85003 Well NO MW-5C <br /> 502-72$-0707 <br /> Well Type M Monitor ❑ 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 Greg Coffin 13 Other <br /> ' WELL PURGING <br /> Purge Volume Purge Date `7e Method <br /> Casing Diameter(D)in inches Bailer-Type <br /> 2-inch El4 inch ❑ 6-inch EJ Other S Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 90 ❑ Other <br /> Water Level Depth(WL in feet BTOC) 617r <br /> ' Pump Intake Setting <br /> Number of Weli Volumes(#Vols)to be Purged <br /> 3 ❑ 4 ❑ 5 ❑ Other E Near Bottom ❑ Near Top ❑ Other <br /> Depth in feet(BTOC) <br /> ' Purge Volume Calulation Screen interval in Feet(BTOC) from 70 <br /> _ 2 to 90 <br /> TD((feet) WLt(f(feet) X D(inches) X #Vols X 0 0409 = I Z gallons <br /> ' Calculated Purge Volume <br /> Pump Time - Purge Rate Actual Purge Volume <br /> Start 12- fS Stop Time Elapsed Initial gpm 1 -3 gallons <br /> Field Parameter Me_ asurements Final gpm <br /> Time Gallons Purged,i b0% DO(mglL) Cond 1 Cond 2 Salinity Temp Notes <br /> (umhoslcm) (umhvslcm) <br /> 42 2-7 U 3 O `I iii t, l --7 <br /> 1 Z -r , <br /> I II 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/Comments Purge water contained in on-site 1,000 gallon poly tank pending analysis/disposal <br /> WELL SAMPLING <br /> Sampled By GC Sampling Date `7 fzA'!r'f Sampling Time <br /> Sampling Method Water Level Before Sampling(In feet BTOC) �, if 3-7 <br /> Bailer-Type 3' Disposable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Serres <br /> 1 _ Sample No I Containers,Vol,# Analysis Preservative — Lab Comments <br /> (1) 1 L Amber _-8015 None ' Diesel <br /> MW-5C P)40m Voa's I 8015 _ HCI Gasoline <br /> Jw <br /> ' Z X40mL Voa's 8260 HCI ��„` BTEX, Fuel 4xy's, 1,1- <br /> DCA, 1,2-DCA <br /> ' Other Notes <br />