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i <br /> BLAES EnvironmentalManagement,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-26 <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 /> ' WELL PURGING <br /> Purge Volume Purge Date Purge Method <br /> Casing Diameter(D)in inches ❑ Bader-Type <br /> 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 /> 0 3 ❑ 4 ❑ 5 ❑ Other Depth in feet(BTOC) <br /> I Purge Volume Calulation Screen Interval in Feet(BTOC) from 52 <br /> 2 to 77 <br /> X 2 X 0 X 00409 = 6atfZ gallons <br /> TD(feet) WL(feet) D(inches) #Vols Calculated Purge Volume <br /> Pump Time I JPurge Rate JACtual Purge Volume <br /> Start/0-56 Stop /rte_ Time Elapsed Initial gpm^mm <7 gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons Purged DO% DO(mglL) Cond 1 Cond 2 Salinity Temp PH Notes <br /> (umhoslcm) (umhoslcm) <br /> D 1dr �/ ?1 -7 <br /> •f <br /> i <br /> I I 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 SAMPLIN <br /> Sampled By ISampling Date (a S3 Sampling Time 2-; <br /> Sampling Method - Water Level Before Sampling(in feet BTOC) <br /> Bailer-Type f o.5 Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> _ _Sample No Containers Vol # Analysis Preservative ,— _ Lab ----- Comments <br /> -- --- – — _ _– _w0't__ Vim? <br /> E <br /> Other Notes <br />