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BLAES EnvironmentalMaaagement;Inc _ GROUNDWATER SAMPLING FORM <br /> ' 1433 North Third Avenue <br /> Phoenn <br /> lx,Arizoa 85003 Well NO MW-3C <br /> 06o2a28-0707 <br /> Well Type ■ Monitor ❑ Remedial-VE AS <br /> ' <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 Purge Date 3^ Purge Method <br /> ' Casing Diameter(D)in inches ❑ Bader-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) 4 pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> � Near Bottom [:1 Near Top C] Other <br /> 03 ❑ 4 ❑ 5 ❑ Other Depth in feet(BTOC) --80 <br /> ' Purge Volume Calulation Screen Interval in Feet(BTOC) from 75 <br /> to 100 <br /> X X 0 0409 <br /> r 100 — S`�t_ s 1 2 3 = `1 gallons <br /> TD(feet) WL(feet) J X 2 D(inches) #Vols Calculated Purge Volume <br /> Pump Time JPurge Rate JACtuall Purge Volume <br /> Start 1 f'ot} Stop Time Elapsed Initial gpm -Z-j gallons <br /> Field Parameter Measurements Final gpm <br /> ' Time Gallons Purged 00% DO(mg/L) Cond t Cond 2 Salinity Temp Notes <br /> (umhos/cm) (umhos/cm) <br /> g D�/ o _7 qzL1 x-74 a tr i ( { <br /> p n ;-c 4s l {, '670 0 q z( g <br /> U `�S X07oU V �t_ � <br /> - -- - —I -- —-- - - - <br /> I- - <br /> 1 Observations Dunng Purging(well Condition,Turbidity,Color,Odor etc c h, <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 By GC Sampling Date :;- -�Ilbit' Sampling Time -7 3(- <br /> i <br /> (- <br /> etoWater Level Before Sampling(in feet BTOC) <br /> Bailer-Type 3' Disposable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> ' Sampling Distribution sample serves - i -ve <br /> Sample No I Containers,Vol ,# f Analysis _ PreservatrLab _� Comments <br /> I (1) 1 L Amber I 8015 ^i L Diesel <br /> 1 (2)40mL Amber Voa's I HCI I ESC Gasoline _ <br /> MW-3C -� BTEX, Fuel Oxy's, 1,1- <br /> (2)40mL Amber Voa s I 8260 DCA, 1,2-DCA <br /> Other Notes <br />