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BLAES Environmental Managemeut,Inc GROUNDWATER SAMPLING FORM ' 1433 North Third Avenue Phoenix,Arizona 85003 Well No MW-10B 0602-728-0707 Well Type ■ Monitor ❑ Remedial-VE AS ' Site ID U-Haul #709-50 ❑ Other Project No 002-70950-06 Well Material ■ PVC ❑ St Steel Recorded By (,(- ❑ Other 1 L — _ — WELL PURGING Purge Volume Purge Date y� Purge Method 9 ( ) aBailer-Type 5 �pf ' 0(— Casing Diameter D in inches 0 2-inch ❑ 4-inch ❑ 6-inch ❑ Other 6 ❑ Subm rsible Whale Total Depth of Casing(TD in feet BTOC) 60 ❑ Other Water Level Depth(WL in feet BTOC) 77 {�Z Pump intake Setting Number of Well Volumes(#Vols)to be Purged Near Bottom El Near Top El Other ■ 3 [:14 ❑ 5 ❑ Other Depth in feet(BTOC) —55 ' Purge Volume Calulation Screen Interval in Feet(BTOC) from 40 2 to 60 ' TD( )(feet w� r tZ 2 X 3 X 0 0409 = f P gallons( ) X D(Inches) #Vols Calculated Purge Volume Pump Time Purge Rate Actual Purge Volume Start 1`2-7 Stop 81 `fir) Time Elapsed —7 Initial gpm gallons ' Final gpm Field Parameter Measurements ' Time Gaeons Purged l DO% DO(mg/L) Cond 1 Cond 2 Salinity Temp Notes (umhoslem) (umhos/cm) _ I Observations During Purging(well Condition Turbidity,Color,Odor,etc ' Purge Water Storage/Disposal [] Drum(s),Number ❑ Storm Sewer ❑ Sanitary Sewer Other/Comments Purge water contained in on-site 1,000 gallon poly tank pending analysis/disposal WELL SAMPLING ' Sampled By GC ISampling Date I < T6'rC Isampling Time ([� Sampling Method Water Level Before Sampling(in feet BTOC) ' Bailer-Type 3' DIS usable ❑ Same as Above ❑ Submersible ❑ Whale ❑ Grab-Type ❑ Other ❑ Other-Type ' Sampling Distribution sample series_ �— Sample No Containers Vol,# Analysis Preservative Lab I Comments (1) 1 L AmberDiesel 8015 as Gasoline (2)40mL Amber Vo MW-10B ' HCl ESC ' BTEX, Fuel Oxy's, 1,1- (2)40ML Amber Voa's 8260 1 DCA, 1,2-DCA Other Notes