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' BLAES Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MWA B <br /> ' 662-728-0707 <br /> Well Type ■ Monitor ❑ Remedial-VE AS <br /> Site ID U-Haul#709-50 ❑ Other <br /> *Project No 002-70950-06 Well Material ■ PVC ❑ St Steel <br /> Recorded By �. ❑ Other <br /> WELL PURGING <br /> ' Purge Volume 7at—e-7 WrpytrPurge Method <br /> Casing Diameter(D)in Inches <br /> ❑ Bailer-Type <br /> ® 2-inch ❑ 4-Inch ❑ 6-Inch ❑ Other ■ Submersible ❑ Submersible Whale <br /> ' Total Depth of Casing(TD in feet BTOC) 77 ❑ Other <br /> Water Level Depth(WL in feet BTOC) 5V.-•6`b Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> ® Near Bottom El Near Top El Other <br /> N 3 [:14 ❑ 5 ❑ Other Depth In feet(BTOC) --70 <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 52 <br /> z to 77 <br /> ' ` TD{feet} WL(feet)-) X 77 2 X 3 X 0 0409 = �-g gallons <br /> ` D(inches) #vols Calculated Purge Volume <br /> Pump Time IPurge Rate J Actual Purge Volume <br /> i ,� Start (Z_1'7 Stop 170L, Time Elapsed k__ Initial gpm gallons <br /> ' Field Parameter Measurements Final gpm <br /> Time Gallons Purged DO% DO(mglL) (uCond sl m) (urCond m) Salinity Temp Notes <br /> 137-5- <br /> ' 7 Y l7-c< `�S� t/ 7-7- y <br /> t3 01. 7 D J t,b <br /> Observations During Purging(well Condition,Turbidity,Color,Odor,etc <br /> Purge Water Storage/Disposal [) Drum(s),Number <br /> ❑ Storm Sewer E] Sanitary Sewer <br /> Other i Comments Purge water contained in on-site 1 000 gallon poly tank pending analysis/disposal <br /> ' WELL SAMPLING <br /> Sampled By GC ISampling Date I �� �t f Sampling Time c(� <br /> Sampling Method Water Level Before Sampling(In feet BTOC) LV± <br /> ' E Bailer-Type ___3'Disposable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ' ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> Sample No Containers Vol,# Analysis Preservative Lab Comments <br /> ' (1) 1L Amber 8Q15 Diesel <br /> MWA B (2)40mL Amber Voa's HCl ESC Gasoline <br /> (2)40mL Amber Voa's 8260 BTEX, Fuel Oxy's, <br /> ' _ _ DCA, 1,2-DCA <br /> !-Other Notes <br />