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BLAES Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Araona 85003 Well No MW-7C <br /> b02-728-0747 <br /> ID Type ■ Monitor Remedial-VE AS <br /> _ Slte 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 ] IPurge Date q���� IPurge Method <br /> Casing Diameter(D)in inches ❑ Bailer-Type <br /> ❑ 2-inch N 4-inch ❑ 6-inch ❑ Other <br /> ® Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) f b ❑ Other <br /> Water Level Depth (WL in feet BTOC) s9 CY Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> ❑ Near Bottom El Near Top El Other <br /> 0 3 [:14 ❑ 5 ❑ Other Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 60 <br /> l 4 2 3 to 85 <br /> ( IT' I ll J X X 0 0409 = t�f 5,1 gallons <br /> TD(feet} WL{feet} X D(orches} Vols Calculated Purge Volume <br /> Pump Time — Purge Rate JACtual Purge Volume <br /> Start Stop Time Elapsed Initial gpm Sy gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons Purged DO% DO(mglL) Cond 1 Cond 2 Salinity Temp pH Notes <br /> (umhos/cm) (umhos/cm) <br /> i <br /> Observations During Purging(well Condition,Turbidity Color,Odor,etc <br /> r✓r `�+�3/oT 5`f .l(rwC 6cst rn� S�9 7 �Tw ...,/ JV TD Tp rates <br /> Purge Water Storage/Disposal ❑ Drum(s),Number Storm Sewer ❑ Sanitary Sewer <br /> Other 1 Comments Purge water contained in on-site 1 000 gallon poly tank pending analysis/disposal <br /> WELL SAMPLING <br /> Sampled By Jy Sampling Date 1 9147E Isampling Time 17 <br /> Sampling Method Water Level Before Sampling (in feet BTOC) 5'9 /y <br /> Bailer-Types ?:"j"J& ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distributton Sample Series <br /> �_—Sample NoW Containers Vol-,# _-_Analysis Preservative Lab--, — Comments <br /> iA <br /> 0ther Notes <br />