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BL <br /> AES Environmeota!Management,tnc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Pboenix,Arnzoaa 85003 Well No MW-113 <br /> 642-728-0707 <br /> Well Type ■ Monitor ❑ Rernedlal-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 ❑ Other <br /> IWELL PURGING <br /> Purge JPurge �Purge Method <br /> Casing Diameter(D)in inches ❑ Bailer-Type <br /> I E 2-inch ❑ 4-inch ❑ 6-inch ❑ Other <br /> Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) ❑ Other <br /> Water Level Depth(WL in feet BTOC) Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> ❑ Near Bottom El Near Top El Other <br /> N 3 ❑ 4 ❑ 5 ❑ Other Depth in feet(BTOC) <br /> Purge Volume Caiulatton Screen Interval in Feet($TOC) from 52 <br /> TDr y/.� 2 to 77 <br /> (feet)O WLR feek X 2 X 3 X 0 Q409 = �.A3 gallons <br /> ( ) (feet) D(inches) #Vols Calculated Purge Volume <br /> Pump Time IPurge Rate JActual Purge Volume <br /> Start 1:5V Stop IV5Time Elapsed Initial gpm 7 gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons Purged DO% DO(mg/L) (uCond m) (umhosCond m) Salinity Temp pH Notes <br /> �'✓Z�- 1-1 11.6 0- 62- - - - Z3 Z✓ <br /> Observations During Purging(well Condition,Turbidity,Color,Odor etc <br /> I <br /> Purge Water Storage/Otsposal ❑ Drum(s), Number [] Storm Sewer ❑ Sanitary Sewer <br /> Other/Comments Purge water contained in on-site 1,000 gallon poly tank pending analysts/disposal <br /> WELL SAMPLING <br /> Sampled By J-1 _ Sampling Date 2oOtt,Ic Isampling Time GT 'IS <br /> tSampling Method Water Level Before Sampling(in feet BTOC) <br /> R-Bailer-Type :> S,reff 6 iL ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> Sample No - Containers,Vol ,# I Analysts — Preservative Lab Comments <br /> wo <br /> Other Notes <br />