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BLAES EnvironmenialManagement,[me GROUNDWATER SAMPLING FORM <br /> ' 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-11 B <br /> of-7za-1 <br /> Well Type ■ Monitor ❑ Remedial -VE AS <br /> ' Ite ID - U-Haul #709-50 1:1Other <br /> Project No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By _( _ ❑ Other <br /> WELL PURGING <br /> Purge VolumePurge D e_e r r Y/dam„ Purge Method <br /> Casing Diameter(D)in inches N Bader-Type 6' PVC <br /> ■ 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 BTOC) _ y q"0 Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged ❑ Near Bottom El Near Top El Other <br /> 3 ❑ 4 El 5 El Other Depth in feet(BTOC) <br /> ' Purge Volume Calulation Screen Interval in Feet(BTOC) from 40 <br /> r 60(feat) �R-3-S l 2 X 2 to 60 <br /> TD(t — (feet) J X 3 X 0 0409 = S L3 gallons <br /> WL J D(inches) #Vols Calculated Purge Volume <br /> Pump Time IPurge Rate ActaJal Purge Volume <br /> Start ` :.'R Stop Time Elapsed Initial gpm <br /> s r gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons Purged DO% DO(mg/l.) (uCond sl 1 (uCond m) Salinity Temp Notes <br /> 1 v_7 ZZ-V <br /> vy 7 Zf-8 <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 Pur a water contained in on-site 1,000 gallon poly tank pending analysis/disposal <br /> WELL SAMPLING <br /> Sampled By (� Sampling Date I WIIIJRs ISampling Time I is- 5-y <br /> Sampling Method Water Level Before Sampling(in feet BTOC) •� <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 Containers,Vol,# Analysis Preservative Lab I __ Comments <br /> (1) 1 L Amber 8015 None _ Dles_el <br /> ' MW-11B (3)40mL Voa's 8260 HCI Seq Gasoline, BTEX, Fuel <br /> �Oxy'S, 1,1-DCA, 1,2-DCA <br /> Other Notes -- <br />