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BLAES EnvironmentaiManagement,I.¢ GROUNDWATER SAMPLING FORM <br /> ' 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-10B <br /> 02-721M707 <br /> Well Type ■ Monitor ❑ Remedial-VE AS <br /> ' ite ID U-Haul #709-50 © Other <br /> Prosect No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By <br /> © Other <br /> WELL PURGING <br /> Purge Volume i Purge Date I Purge Method <br /> ' Casing Diameter(D)in inches -M,$dit pe <br /> 0 2-inch ❑ 4-inch ❑ 6-inch ❑ Other submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 60 ❑ Other <br /> ' Water Level Depth(WL in feet STOC) V°. Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged S <br /> Near Bottom ❑ Near Top El Other 3 F-1 4 ❑ 5 El Other Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 40 <br /> 2 to 60 <br /> TD((feet) W 32 ee X 2 X 3 X 0 0409 = S Z� gallons <br /> D(inches) tk Vols Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> start t i'(( Stopll�y( Time Elapsed S,-,d Initial gpm 575— gallons <br /> Field Parameter Measurements Final gpm <br /> 1 Time Gallons Purged 00% DO(mglL) Cond 1 Cond 2 Salinity Tamp Notes <br /> (umhos/cm) (umhoslcm) <br /> i ��l3 7- r, Zb Z �7 ilg7 11S7 V-L Z'( � <br /> Z_lq 11y(, x(78 pb Z3 b <br /> I ' Observations During Purging(well Condition Turbidity,Color Odor,etc 4-2 26 <br /> Purge Water Storage/Disposal ❑ Drum(s),Number [] Storm Sewer ❑ Sanitary Sewer <br /> Other 1 Comments Purge water contained in on-site 1,000 gallon poly tank pending analysisidisposal <br /> WELL SAMPLING <br /> ' Sampled By &C— _ Sampling Date b Sampling Time <br /> Sampling Method Water Level Before Sampling(in feet BTOC) <br /> ' E Bader-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,# Analysis Preservative Lab i Comments _ <br /> (1) 1L Amber 8015 Nane Diesel <br /> ' MW-1013 (3)40mL Voa's 8260 HCl Seq Gasoline, BTEX, Fuel <br /> Oxy's, 1,1-DCA, 1,2-DCA <br /> ' Other Notes <br />