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BLAES EovironmentalManagemeayInc GROUNDWATER SAMPLING FORM <br /> ' 1433 North Third Avenue <br /> Phoenix,Arizona $5003 Well No MW-2C <br /> 0602-728,-0707 <br /> Well Type ■ Monitor ❑ Remedial-Vin AS <br /> ' Site ID U-Haul #709-50 ❑ Other <br /> Project No 002-70950-06 Well Material ■ PVC ❑ St Steel <br /> Recorded By — �2�. ❑ Other <br /> ' I - — - WELL PURGING - -^ - <br /> Purge Volume (Purge Date q-(Tq K JPurge Method <br /> Casing Diameter(D)in inches T ❑ Bailer-Type <br /> 0 2-inch ❑ 4-inch ❑ 6-inch ❑ Other Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 100 ❑ Other <br /> ' Water Level Depth(WL in feet BTOC) 6 J r'7 Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> 3 El 4 El 5 El Other N Near Bottom ❑ Near Top El Other <br /> Depth in feet(BTOC) ~80 <br /> ' Purge Volume Calulation Screen Interval in Feet(BTOC) from 75 <br /> 2 to 100 <br /> 100 — bo.;7 1 X 2 X 3 X 0 0409 = 19 Y� gallons <br /> TD(feet) WL(feet) JJ D(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> ' Start lypq Stop Time Elapsed Initial gpm /9 gallons <br /> Field Parameter Measurements Final gpm <br /> ' Time Gallons Purged DO% DO(mg/L) Cond 1 Cond 2 Satinity Temp Notes <br /> (umhos/cm) (umhos/cm) <br /> < to _71 U ` L� -5 ( "I 4 r.( D D <br /> IY.iy r� tf— `I U,�{Z ram � ( � K,2 -Z_ <br /> a r-v <br /> !t( 2-3 r i f 6 0 Z 4s (7 `( 2( 1 <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 1 Comments Purge water contained in on-site 1,000 gallon poly tank pending analysis/disposal <br /> WELL SAMPLING <br /> Sampled BY7 GC _ Sampling Date I eAil(v< ISampling Time a <br /> Sampltng Method Water Level Before Sampling (in feet BTOC) fyfa <br /> ]♦ Bailer-Type 3' Di5 osable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> ' Sampling Dlstrtbutton— - sample Series _� _ <br /> Sample No Containers Vol,# Analysis Preservative <br /> Lab Comments <br /> _(1) 1 L Amber8015 —� Diesel - — <br /> MW-2C (2)40mL Amber Voa's, _ HCI ESC �_ Gasoline <br /> _ (2)40mL Amber Voa's 8260 Full List+ Fuel-Oxy's <br /> Other Notes <br />