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BLAES Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> I433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-4B <br /> 602a28-0707 <br /> Well Type ■ Monitor ❑ Remedial-VE AS <br /> Site ID U-Haul #709-50 ❑ Other <br /> Protect 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 g 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 ❑ Near Top El Other <br /> 3 El 4 El 5 L1 Other Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 45 <br /> 2 to 70 <br /> bo �� X 2 X 3 X 0 0409 = `f� gallons <br /> TD(feat) WL(feet) D(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start /6dtop � Time Elapsed Initial gpm Z( gallons <br /> Field Parameter Measurements Final gpm <br /> TimeGallons Purged DO% DO(mg!!) Cond I Cond 2 Salinity Temp pH Notes <br /> (umhoslcm) (umhoslcm) <br /> C 1406 1 -J.$ 4)$ - - - Z3,0 <br /> ff <br /> Observations During Purging(well Condition Turbidity, Color Odor,etcf/ W <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 J Sampling Date /icy vm Sampling Tlme /J ir <br /> Sampling Method Water Level Before Sampling (in feet BTOC) <br /> Bailer-Type ——��_� > =���- ❑ Same as Above <br /> I ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution 7 Sample Series <br /> Sample No Containers VolAnalysis,# Preservatives Lab <br /> � Comments <br /> ���--------- �V G+A�_�.111rv.L_•-�-- ---- --��l7- _��� i � i C�s,i:� cl.-y `i�i� <br /> Other Notes <br />