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1 <br /> BLAES EnvironmeatalManagement,Inc GROUNDWATER SAMPLING FORM <br /> ' 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-10C <br /> oi-�za-07o7 <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 _C-2 -_ ❑ Other <br /> ' WELL PURGING <br /> Purge Volume Purge Date <640(gc; Purge Method <br /> ' Casing Diameter(D)in Inches ❑ Bader-Type <br /> E 2-inch [] 4-inch ❑ 6-inch ❑ Other Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet STOC) 845 ❑ Other <br /> Water Level Depth(WL in feet BTOC) `t rl Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> ❑ Near Bottom ❑ Near Top El Other <br /> N 3 ❑ 4 ❑ 5 ❑ Other Depth in feet(BTOC) -80 <br /> ' Purge Volume Calulation Screen Interval in Feet(BTOC) from 64 5 <br /> to 84 5 � <br /> 845 - �T72 7 1 2 X 3 X 00409 = 13- f gallons <br /> ' TD(feet) WL(feel) J X D(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate JActual Purge Volume <br /> Start q 17q Stop ID p•7 Time Elapsed t T—.— Initial gprn J Z. gallons <br /> Field Parameter Measurements Final gpm <br /> ' Time Gallons Purgedl DO% DO(mg1L) Cond t Cond 2 Salinity Tamp Notes <br /> (� (umhoslcm) (umhoslem) <br /> � SSs I j q n 1.�1� r �Z5�7 t7 Y �t <br /> t? 'i6 49—7 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/Comments Purge water contained in on-site 1,000 gallon poly tank pending analysis/disposal <br /> WELL SAMPLING <br /> ' Sampled By GC Sampling Date7.0 pt' Sampling Time <br /> Sampling Method Water Level Before Sampling(in feet BTOC) iVi}'L <br /> N Bailer-Type 3' Disposable ❑ Same as Above <br /> ' ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> ' Sampling Distribution sample renes <br /> Sample No 'k Containers,Vol,# I Analysis I Preservative Lab k Comments <br /> 70ther <br /> (1) 1 L Amber Diesel(2)40mL Amber Voa's 8015ESC Gasoline <br /> MW-10C T- HCI BTEX, Fuel Oxy's, 1,1- <br /> (2)40mL Amber Voa's 8260DCA �12�-DCA_ <br /> Notes <br />