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BLAES Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> ' I433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-413 <br /> 602-728-4707 <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 (.:3� ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date y Purge Method <br /> Casing Diameter(D)in inches ❑ Bader-Type <br /> H 2-inch [] 4-inch ❑ 6-inch ❑ Other Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD In feet BTOC) 70 ❑ Other <br /> ' Water Level Depth(WL in feet BTOC) Ste-t L Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> Near Bottom El Near Top ❑ Other <br /> N 3 ❑ 4 ❑ 5 ❑ Other Depth in feet(BTOC) ~65 <br /> ' Purge Volume Calulation Screen Interval in Feet(BTOC) from 45 <br /> z to 70 <br /> 70 — l 6 X 2 X 3 X 0 0409 = S-� + gallons <br /> ' TO(feet) WL(feet) D(inches) #Vols <br /> Calculated Purge Volume <br /> Pump Time I Purge Rate Actual Purge Volume <br /> Start W.,t�D Stop I2 LL Time Elapsed .._i Initial gpm {p gallons <br /> Final gpm <br /> Field Parameter Measurements <br /> Time ;Gallons Purged DO%a DO(mg1L) Cond 1 Cond 2 Salinity Temp Notes <br /> (umhoslcm) (umhos/cm) <br /> ' 1L 2 L' (p 0 -71 [Z �, rb 1. �? L3_ <br /> Observations During Purging(well Condition,Turbidity, Color,Odor,etc Q. <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 7 GC Sampling Date I S(Jf USS Sampling Time a� <br /> Sampling Method Water Level Before Sampling(in feet BTOC) �V/,A <br /> ' ■ Bader-Type 3' Dis usable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> ' Sampling Distribution T sample Series ` ��� --_---� -- -- ^--`- -- --- - ----- <br /> _ Sample No Containers,V01,#_ Analysis Preservative Lab_ Comments <br /> (1) 1 L Amber I Diesel _ <br /> (2)40mL Amber Voa's' 8015 Gasoline <br /> ' MW-46 - HCl ESC I' (2)40mL Amber Voa's I 8260 1 BTEX, Fuel Oxy's, 1,1- <br /> DCA, 1,2-DCA <br /> Other Notes <br />