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BLAaES Environmental Management,lnc GROUNDWATER SAMPLING FORM <br /> I 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-1 C <br /> 602-728-0707 <br /> Well Type ■ 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 ❑ Other <br /> IWELL PURGING <br /> Purge Volume-7 IPurge Date o; Purge Method <br /> Casing Diameter(D)in inches ❑ Sailer-Type <br /> I N 2-inch ❑ 4-inch ❑ 6-inch ❑ Other ® 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 [❑ Near Bottom ❑ Near Top ❑ Other <br /> E 3 ❑ 4 ❑ 5 ❑ Other Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 75 <br /> I to 100 <br /> I �4&q-77,7 — 0( 4q 2 J X 2 3 X X 0 0409 A 17 7% gallons <br /> TD(feet) WL(Feet) D(inches) #Vois Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start /S228 Stop /S3� Time Elapsed Initial gpm gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons Purged DO% DO(mg/L) Cond 1 Cond 2 Salinity Temp pH Notes <br /> (umhoslcm) (umhos/cm) <br /> X537 i�Or f,Y-_ o �3►' _ 2z .� <br /> Observations During Purging(well Condition,Turbidity,Color Odor,etc <br /> I <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 �y Sampling Date 7/w1as Isampling Time I ?,sy <br /> Sampling Method r Water Level Before Sampling(in feet BTOC) <br /> Bailer-Type ElSame as Above <br /> ElSubmersible ❑ Whale t ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> Sample No Containers Vol # Analysis Preservative I Lab i _ Comments <br /> I I <br /> I I <br /> IC <br /> Other Notes <br />