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SLAES Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-8C <br /> 602 728-0707 <br /> Well Type ■ Monitor ❑ Remedial -VE AS <br /> Wite 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 JPurge Date JPurge Method <br /> Casing Diameter(D)in inches ❑ Bailer-Type <br /> I ❑ 2-inch ■ 4-inch ❑ 6-inch ❑ Other <br /> 0 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 /> ❑ <br /> 3 ❑ 4 ❑ 5 ❑ Other Near Bottom ❑ Near Tap ❑ Other <br /> Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 60 <br /> 4 2 3 to 85 <br /> X X X 0 0409 = _�/y 9'q gallons <br /> TDD(feet) WL{feet} D{inches) #Vols Calculated Purge Volume <br /> IPump Time Purge Rate Actual Purge Volume <br /> Start i 1'57 Stop Time Elapsed Initial gpm i/S gallons <br /> IField Parameter Measurements Final gpm <br /> Tome Gallons Purged DO°/ DO(mg1L) Cond 1 Cond 2 Salinity Temp pH Notes <br /> (umhoslcm) (u`hoslcm) r <br /> C/ z� /1f• ®.fid/ - — 2Z Y <br /> o <br /> 1 y� <br /> i <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 /> Other/Comments Purge water contained in on-site 1,000 gallon poly tank pending analysis/disposal <br /> WELL SAMPLING <br /> Sampled By ISampling Date �Zl Ulm ISampling Time $ IPJ <br /> Sampling Method Water Level Before Sampling(in feet STOC) <br /> K;9.Sailer-Type ` Tj, Q �� ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> Sample No _ Containers,Vol #_ _ Analysis _ _P�enervative �; Lab , Comments _ <br /> Other Notes <br /> I <br />