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BLAES <br /> Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> I Phoenix,Arizona 85003 Well No MW-3C <br /> 602-728-0707 <br /> Well Type ■ Monitor ❑ Remedial -VE AS <br /> Site 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 Purge Method <br /> Casing Diameter(D)in inches ❑ Bailer-Type <br /> 0 2-inch [] 4-inch [] 6-inch ❑ Other <br /> ®.5ubmersable Q 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 /> 3 El 4 ❑ 5 [:1 Other Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 75 <br /> 2 to 100 <br /> 9�w7 r tflx —) 2 X 3 X 0 0409 = l E 2`3 gallons <br /> Tp(feet) WL(feet) X D(inches} Vols Calculated Purge Volume <br /> Pump Time I Purge Rate Actual Purge Volume <br /> Start7 Stop &2_1 Time Elapsed jnitial gpm /b gallons <br /> Field Parameter Measurements _ 1 Final gpm <br /> Time Gallons Purged DO% DO(mg/Q (uCord sl 1 {uCond s! m) Salinity Temp pH Notes <br /> 1116 !2- Z_ 0. 6 / -- -- - Zit � <br /> 112-1 <br /> 1 //l5� tz �a rr.,- ' � _ <br /> 2 a 0-�� Z2-.�3 <br /> Observations During Purging(well Condition Turbidity, Color,Odor etc ll �. <br /> 01 e14 <br /> Purge Water Stora tsposal ❑ Drum(s), umber Storm ewer ❑ Sanitary Sewer <br /> I Other Comments Purge water contained in on-site 1 000 gallon poly tank pending analysis/disposal <br /> WELL SAMPLING <br /> Sampled B Isampling Date I Z Sampling Time tAiM <br /> Sampling Method Water Level Before Sampling(in feet BTOC) <br /> Bailer-Type ?1C4 'off ❑ Same as Above <br /> -I <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> _Sample No- — -- _ Containers,Vol,#�— —Analysis —Preservative Lab Comments — <br /> Other Notes <br />