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iB <br /> LASS Environments[Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-2C <br /> 60I-728-0707 <br /> Well Type ■ Monitor O Remedial-VE AS <br /> ite ID U-Haul #709-50 ❑ Other <br /> IProject No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By Greg Coffin _.__. ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date JPurge Method <br /> Casing Diameter(D)In inches ❑ Bader-Type <br /> N 2-Inch ❑ 4-Inch ❑ 6-inch ❑ Other <br /> .� Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD In feet STOC) 1'$ harts ❑ Other <br /> Water Level Depth(WL In feet BTOC) VT 7 F Pump Intake Setting <br /> I Number of Well Volumes(#Vols)to be Purged <br /> ❑ Near Bottom [-I Near Top ❑ Other <br /> 0 3 [:14 ❑ 5 ❑ Other Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 75 <br /> �C6 &-r-71 2 2 <br /> K <br /> 3 to 900 <br /> X X 0 0409 ("7.16 gallons <br /> TD(feet) WL(feet) X D(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge JACtual Purge Volume <br /> Start /039-- Stop /dr� Time Elapsed Initial gpm $ gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons Purged DO% DO(mg1L) (u Cond sl I (umbos/m) Salinity Temp pH Notes <br /> .o,S�_ /3 Ln a 7V <br /> I , <br /> Observations During Purging(well Condition,Turbidity Color Odor,etc <br /> Purge Water Storage/Disposal ❑ Drum(s) Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> I Other I Comments Purge water contained In on-site 1 000 gallon poly tank pending analysis/disposal <br /> WELL SAMPLING <br /> Sampled By ISampling Date O O `' Sampling Time 1200 <br /> Sampling Method Water Level Before Sampling(In feet BTOC) <br /> Bailer-Type S iCs �a-�l ❑ Same as Above <br /> ❑ Submersible [] Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> Sample No _ _Containers,Vol # I Analysis ' Preservative I Lab Comments <br /> 1�PA <br /> � L <br /> Other Notes <br />