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BLAES > v <br /> n ironmentatManagement,lnc GROUNDWATER SAMPLING FORM <br /> I433 North'third Avenue <br /> I Phoenix,Arizona 85003 Well No MW-10B <br /> 602-728-0707 <br /> Well Type ■ Monitor C1 Remedial -VE AS <br /> •Site ID U-Haul #709-50 ❑ Other <br /> Project No 002-70950-04 Well Material ■ PVC 0 St Steel <br /> Recorded By Greg Coffin ❑ Other <br /> I i WELL PURGING <br /> Purge Volume Purge Date Pur a Method <br /> Casing Diameter(D)in inches i <br /> I Bailer-Type 'Y[I2-inch 4-inch ❑ 6-inch El Other <br /> Total Depth of Casing(TD in feet BTOC) El Other ❑ S bmersrbfe Whale <br /> Water Level Depth(WL in feet BTOC) Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> [INear Bottom F] Near Top El Other <br /> 3 ❑ 4 ❑ 5 ❑ Other Depth in feet(BTOC) <br /> I Aurge Volume Calulation Screen Interval in Feet(BTOC) from 40 <br /> 2 2 3 to 60 gallons <br /> bn �v s9 LT X X 0 0409 W O- <br /> TD(fast) WL(feel) X D(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate JACtual Purge Volume <br /> Start Stop Time Elapsed Initial gpm D gallons <br /> -- - — Final qpm <br /> Field Parameter Meas---urements <br /> r Time Gallons Purged DO% DO(mg/L) (uCond m) (uCond m) Salinity Temp pH Notes <br /> I <br /> ` � f <br /> Observations During Purging(well Condition Turbidity,Color, Odor etc <br /> 47 1 <br /> Purge Water Storage/Disposal ❑ Drum(s) Number [] storm Sewer ❑ 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 By Sampling Date Sampling Time V05001- _ <br /> Sampling Method Water Level Before Sampling(in feet BTOC) <br /> ❑ Bailer-Type ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> I _ Sample No _ _ Containers Vol ,# - - Analysis T Preservative — Y� Lab Comments <br /> I <br /> Other Notes <br />