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L <br /> ES EnvironmentslManagement,Inc GROUNDWATER SAMPLING FORM <br /> rth Third Avenue <br /> ,Arizona 85003 Well No MW-4C <br /> -0707 <br /> Well Type ■ Monitor ❑ Remedial -VE AS <br /> ' Slte ID U-Haul #709-50 ❑ Other <br /> Project No 002-70950-06 Well Material ■ PVC ❑ St Steel <br /> Recorded By ❑ Other <br /> ' WELL PURGING J <br /> Purge Volume JPurge Date JPurge Method I <br /> ' Casing Diameter(D)in inches ❑ Bailer-Type <br /> N 2-inch ❑ 4-inch ❑ 6-inch ❑ Other Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TO in feet BTOC) 88 ❑ Other <br /> ' Water Level Depth(WL in feet BTOC) <br /> Pump Intake Setting Ll <br /> Number of Well Volumes(#Vols)to be Purged <br /> 3 EJ 4 ❑ 5 El Other E Near Bottom ❑ Near Top ❑ Other <br /> Depth in feet(BTOC) ~80 <br /> ' Purge Volume Calulation Screen Interval in Feet(BTOC) from 68 <br /> 2 to 88 <br /> $8 64 1 2 X 3 X 0 0409 = l`�3 I gallons <br /> ' TD(feet) WL(feet) J X D(inches) #Vols <br /> Calculated Purge Volume <br /> Pump Time Purge Rate J Actual Purge Volume <br /> ' Start k Z 37_ Stop 12 V Time Elapsed t Z_.. Initial gpm gallons <br /> Final gpm <br /> Field Parameter Measurements <br /> ' Time I Gallons Purged! DO% DO(mg/L) Cond 1 Cond 2 Salinity Temp Notes <br /> (umhos/cm) (umhostcm) <br /> JZ 36 3 a sS %IL 1s-�7- o -S- ZZ _I;-- <br /> 1Z qt ra If I> !3 q&5s o - -7-- y <br /> I ��lH ry {� �d +� �bZ of zz <br /> J — — — - - - - -- - - - - <br /> ' Observations During Purging(well Condition,Turbidity,Color,Odor,etc <br /> ' Purge Water Storage]Disposal ❑ Drum(s),Number ❑ Storm Sewer ❑ 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-7 GC Sampling Date ISampling Time C� <br /> Sampling Method Water Level Before Sampling(in feet BTOC) 1V^ <br /> ' S Bailer-Type 3' Disposable_- ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> ' Sampling Distribution - sample series- - <br /> {1) 1 L Amber 8015— LL � _ _ - - -Comments-- <br /> Ic <br /> Sample No Containers,Vol,# Analysis Preservative Lab I Diesel ----MW-4C i --- -{ NCI ESC IGasoline2)40mL Amber Voa's __ <br /> BTEX, Fuel Ox 's, 1,1- <br /> Y! �{2)40mL Amber Voa's j 8260 I DCA, 1,2-DCA <br /> ther Notes <br />