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1 <br /> BL.AES EnvironmentalManagement,lnc GROUNDWATER SAMPLING FORM <br /> ' 14J3 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-10C <br /> 02-728-0707 <br /> Well Type ■ Monitor ❑ Remedial-VE AS <br /> ' ite ID U-Haul#709-50 <br /> Project No 002-70950-04 ❑ Other <br /> Well Material ■ PVC ❑ St Steel <br /> Recorded By ❑ Other <br /> ' WELL PURGING <br /> Purge Volume I Purge Date II( ���Ar _ Purge Method <br /> Casing Diameter(D)in inches 41 emilm -$i-P`g'C <br /> E 2-inch ❑ 4-inch ❑ 6-inch ❑ Other ,Submersible E:1 submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 845 ❑ Other <br /> Water Level Depth(WL in feet BTOC) q�-Z'3 Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged t1aau�m'' 6 <br /> 03 ❑ 4 ❑ 5 El Other .fit-Near Bottom ❑ Near Top ❑ Other <br /> Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 645 <br /> z to 84 5 <br /> 845 — 10 Z3 X 2 X 3 X 0 0409 gallons <br /> TD(feet) WL(feet) D(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start 15, Stop 1 q l( Time Elapsed 16 Initial gpm Q gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons Purged DO% 04(mglL) ( Cond 1 Cond m) Salinity Temp Notes <br /> umhoslcm) (u <br /> 'Z�' z 3 tl3 �d 0 q 7- <br /> ' t q' ` Z Z 3 r 4' b y% �d'",rD 1( Z2 3 <br /> ' Observations During Purging(well Condition,Turbidity, Color Odor,etc <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 analysis/disposal <br /> WELL SAMPLING <br /> ' Sampledyy _ y�- Sampling Date I GIt ;7VC - Sampling Time g Ip <br /> Sampling Method Water Level Before Sampling(in feet BTOC) <br /> ' 0 Bailer-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 i Lab _ Comments _ <br /> (1) 1 L Amber 8015 NoneL _ Diesel- <br /> MW-10C (3) 40mL Voa's 8280 HCI Seq 1 Gasoline, BTEX, Fuel <br /> Oxy's, 1,1-DCA, 1,2-DCA <br /> ' Other Notes <br />