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BLAES EavironmentatM...puient,I., GROUNDWATER SAMPLING FORM <br /> ' 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-9B <br /> 02-729-0707 <br /> Well Type ■ Monitor ❑ Remedial -VE AS <br /> t Ite ID U-Haul#709-50 ❑ Other <br /> Project No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By S wi: d It ff ❑ Other <br /> ' ur _ _ WELL PURGING J <br /> Purge Volume Purge Date , Purge Method <br /> ' Casing Diameter(D)in inches ❑ Bailer-Type <br /> E 2-inch [] 4-inch ❑ 6-inch [:] Other <br /> Submersible E] Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 77 ❑ Other <br /> ' Water Level Depth(WL in feet BTOC) Pump Intake Setting ] <br /> Number of Well Volumes(##Vols)to be Purged <br /> 3 ❑ 4 [:15 ❑ Other Near Bottom ❑ Near Top ❑ Other <br /> Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 52 <br /> ( 77z to 77 <br /> K (f — tf( ) 2 X 3 X 0 0409 = 13.y 3 gallons <br /> ' TD{feet) WL{feet) X D{inches) #Vols Calculated Purge Volume <br /> Pump TimePurge Rate lActual Purge Volume <br /> Start Stop Time Elapsed Initial gpm f y gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons Purged' DO% DO(mg/1.) uCond Cond 2 Salinity Temp Notes <br /> ( m) (umhos/cm) <br /> Cf:Ll if <br /> S_ it u 0,qb 22 L <br /> #q Sz 10 q,q o,S's z/ q <br /> 9 <br /> t <br /> ' Observations During Purging(well Condition,Turbidity,Color, Odor etc <br /> t 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 $t tv��(l.K�f Sampling Date I (.//Bios ^_ ISampling Time <br /> Sampling Method Water Level Before Sampling(in feet BTOC) <br /> ' 2 Bailer-Type 3' Disposable T ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series — <br /> Sample No Containers,Vol,# Analysis Preservative Lab Comments _ <br /> (1) 1 L Amber 8015 None Diesel _ <br /> ' MW-9B (3)40mL Voa's 8260 HCl Seq Gasoline, BTEX, Fuel <br /> Oxy's, 1,1-DCA, 1,2-DCA <br /> ' 0ther Notes <br />