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BLAES EnvironmentaiManagement,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MWA 2B <br /> 02-728-0707 <br /> Well Type ■ Monitor ❑ Remedial-VE AS <br /> ' lte ID U-Haul#709-50 © Other <br /> Project No 002-70950-06 Well Material ■ PVC 0 St Steel <br /> Recorded By 0 Other <br /> ' WELL PURGING <br /> Purge Volume Purge Date JPurge Method <br /> ' Casing Diameter(D)in inches 21 Bailer-Type ho( <br /> E 2-inch ❑ 4-inch [] 6-inch ❑ Others ❑ SubmIersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 60 ❑ Other <br /> ' Water Level Depth(WL in feet GTOC) S- b <br /> Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> Near Bottom El Near Top ❑ Other <br /> 0 3 [:14 ❑ 5 ❑ Other Depth in feet(BTOC) --55 <br /> ' Purge Volume Calulation Screen Interval in Feet(BTOC) from 40 <br /> 2 to 60 <br /> Ir` 60 -- ��.�a 2 3 X 0 0409 = r �3 gallons <br /> 1 TD(feet) WL(feet) X O(inches) X #Vols Calculated Purge Volume <br /> ' `Pump TimePurge Rate Actual Purge Volume <br /> Start Stop Time Elapsed Initial Will f Lf gallons <br /> ' Field Parameter Measurements Final gpm <br /> ' Time Gallons Purged! DO% DO(mgtL) Cond 1 Cond 2 Salinity Temp Notes <br /> (umhos/cm) (umhoslcm) <br /> � c i <br /> 1_ /VJI✓fYrL- Pt t G n� f tr y✓r wY N <br /> II <br /> _ r L.,.r va-.•f U r� Jc .4,�+� CJS� U�►-Y� <br /> - <br /> - <br /> Observations During Purging(well Condition,Turbidity,Color,Odor,etc <br /> Purge Water StoragelDisposal ❑ Drum(s),Number [] Storm Sewer ❑ Sanitary Sewer <br /> ' Other 1 Comments Pu a water contained in on-site 1,000 gallon poly tank pending analysis/disposal <br /> WELL SAMPLING <br /> ' Sampled By7 jWe S1j _ Sampling Date c;d o�r Sampling Time <br /> Sampling Method Water Level Before Sampling(in feet BTOC) NT <br /> ■ Bailer-Type 3' Disposable ❑ Same as Above <br /> ' ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> ' Sampling Distribution Sample Series — <br /> Sample No i Containers,Vol,# Analysis Preservative _ Lab j Comments <br /> j (1) 1 L Amber ' I Diesel <br /> 8015 Gasoline <br /> ' HCI ESC <br /> MW-12B (2)40mL Amber Voa's BTEX, Fuel Oxy's, 1,1- <br /> (2)40mL Amber Voa's j 8260 DCA, 1,2-DCA <br /> Other Notes <br />