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1 <br /> BLAE$ EnvtronmeetatMaoagemeoyInc GROUNDWATER SAMPLING FORM <br /> ' 1433 North Third Avenue <br /> Phoenlx,Arizona 85003 Well No MW-96 <br /> 602-728-0107 <br /> Well Type ■ Monitor ❑ Remedial -VE AS <br /> ' Site !D U-Haul #709-50 ❑ Other <br /> Project No 002-70950-06 Well Material ■ PVC ❑ St Steel <br /> Recorded By (-C— ❑ Other <br /> ' T WELL PURGING <br /> Purge Volume Purge Date T_ JPurge Method <br /> ' Casing Diameter(D)in inches ❑ Bailer-Type <br /> 0 2-inch ❑ 4-inch ❑ 6-inch ❑ Other Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 77 ❑ Other <br /> ' Water Level Depth(WL in feet BTOC) 7 ` Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> Near Bottom C] Near Top El Other <br /> 0 3 ❑ 4 ❑ 5 ❑ Other Depth in feet(BTOC) -72 <br /> ' Purge Volume Calulation Screen Interval in Feet(BTOC) from 52 <br /> _ 2 <br /> to 77 <br /> 77 1 X 2 X 3 X 0 0409 = I gallons <br /> ' TD(feet) WL(feet) J D(inches) #Vols Calculated Purge Volume <br /> Pump Time JPurge Rate Actual Purge Volume <br /> Start tp_7-7 Stop Time Elapsed Initial gpm gallons <br /> Field Parameter Measurements Final gpm <br /> ' Time Gallons Purged DO% DO(mglL) Cond 1 Cond 2 Salinity Temp Notes <br /> (umhoslcm) (umhoslcm) <br /> 1 v 7-7 <br /> v <br /> 11Y 7y -7 \ZY ra b ZZ b <br /> ' Observations During Purging(well Condition,Turbidity, Color,Odor,etc( <br /> - 7 n,( <br /> ' Purge Water StoragelDisposal ❑ Drum(s),Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> Other 1 Comments Purge water contained in on-site 1,000 gallon poly tank pending analysistdisposal <br /> WELL SAMPLING <br /> ' Sampled By I GC _ _- Sampling Date 1 -" 3(j''7( ISampling Time 1 ? Z.p <br /> Sampling Method I Water Level Before Sampling(in feel BTOC) ivA <br /> ' N Bailer-Type 3' Disposable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> ' Sampling Distribution - - sample series - � - <br /> Sample No Containers,Vol,# i Analysis Preservative I Lab Comments <br /> (1) 1 L_Amber 8015 _ Diesel <br /> ' MW-98 (2)40mL Amber Voa's i - _ _ _' HCI ESC Gasoline <br /> (2)40mL Amber Voa's 8260 BTEX, Fuel DCA, 1,2--DCDC 1,1- <br /> A <br /> ' Other Notes <br />