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BLAES Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> ' 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-56 <br /> 02-728-0707 <br /> Well Type S 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 JPurgeDate7k JPurge Method <br /> ' Casing Diameter(D)in inches ❑ Sailer-Type <br /> ■ 2-inch ❑ 4-inch ❑ 6-inch [] Other Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 72 ❑ Other- <br /> Water <br /> therWater Level Depth(WL in feet BTOC) es-IFY R b Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> Near Bottom [:1 Near Top El Other <br /> E3 ❑ 4 ❑ 5 ❑ Other Depth in feet(BTOC) --65 <br /> ' Purge Volume Calulation Screen Interval in Feet(BTOC) from 52 <br /> 2 to 72 <br /> TD(feet) W g#eetb X D(inches) X #Vols X 0 0409 = t� gallons <br /> ' \ ( 1Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> ' Start T Y Stop , .-V Time Elapsed M J Initial gpm oe< gallons <br /> Field Parameter Measurements Final gpm <br /> ' Time Gallons Purged Do% DO(mglL) Cond 1 Cond 2 Salinity Temp Notes <br /> (umhos/cm) (umhoslcm) <br /> s Y7 ( b ; `I�- {t3zo �z7 v qZig >I ,�-Fly "�,� <br /> 5v 7 � ` <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 By rC Sl j_ _ Sampling Date 19/130/`057- Sampling Time 1 <br /> Sampling Method Water Level Before Sampling(in feet BTOC) <br /> ' ■ Bailer-Type 3' Dis osable ❑ same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> ' Sampling Distribution I sample series ---------Lab <br /> - <br /> Sample No Containers,Vol-.# _ Analysis Preservative Lab Comments <br /> 1 L Ambers_, 8015 I ----- Diesel <br /> ' MW-5B 40rriL Ambe-r-Vo-a' �_ ,____I HCl I ESC Gasoline BTEX, Fuel Oxy's, 1,1- <br /> (2)40mL Amber Voas,` 8260 -__ DCA, 1,2-DCA <br /> ' Other Notes <br />