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BLAES Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-8A <br /> 642-728-0707 <br /> Well Type ■ Monitor ❑ Remedial-VE AS <br /> WSlte ID U-Haul #709-50 0 Other <br /> Protect No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By Greg Coffin _ ❑ Other <br /> I WELL PURGING <br /> Purge Volume Purge Date Purge Method <br /> Casing Diameter(D)in inches ❑ Bailer-Type <br /> f-] 2-inch 0 4-inch ❑ 6-inch [] Other <br /> ❑ Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD to 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 EJ Near Top ❑ Other I <br /> E 3 ❑ 4 ❑ 5 ❑ Other <br /> Depth in feel(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 37 <br /> r4 2 3 to 62 <br /> I (.,2 b��" � � X X X 0 0409 = 2 �"� gallons <br /> TD(feel) WL(feet) D Inches) #Vols Calculated Purge Volume <br /> Pump Time Ac <br /> ,� Purge Rate tual Purge Volume <br /> Start /2/0 Stop/27w Time Elapsed Initial gpm -3 gallons <br /> Field Parameter Measurements _ Final gpm <br /> Time Gallons Purged DO% DO(mg/L) (uCond m) (uCond m) Salinity Temp pH Notes <br /> Z _ — -- <br /> i <br /> Observations During Purging(well Condition Turbidity Color,iOdor etc /PU-4— E (34- Q <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 ISampling Date Sampling Time <br /> Sampling Method Water Level Before Sampling(in feet BTOC) <br /> ❑ Bader-Type ❑ Same as Above <br /> I ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> - _ Sample No -� T Containers,Vol,# Analysts —Preservative Lab Comments <br /> Other Notes <br />