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!LAES Enviroument.lM...gement,Tnc GROUNDWATER SAMPLING FORM 1433 North Third Avenue Phoenix,Arizona 85803 Well No MW-11C 02-728-070'1 Well Type ■ Monitor ❑ Remedial-VE AS ' Site 10 U-Haul#709-50 ❑ Other Project No 002-70950-04 Well Material ■ PVC ❑ St Steel Recorded By _ ❑ Other ' WELL PURGING Purge Volume JPurge Date �Purge Method Casing Diameter(D)in inches -. - 0 2-inch ❑ 4-inch ❑ 6-inch ❑ Other Submersible ❑ Submersible Whale Total Depth of Casing(TD in feet BTOC) 85 ❑ Other Water Level Depth(WL in feet BTOC) q` t Pump Intake Setting JNumber of Wel!Volumes(#Vols)to be Purged 03 ❑ 4 ❑ 5 ❑ Other [INear Bottom El Near Top ❑ Other Depth in feet(BTOC) IPurge Volume Calulation Screen Interval in Feet(BTOC) from 65 ,— 2 to 85 TDSeet WL feet � X 2 X 3 X 0 0409 = 1 -7 �� gallons I (feet) (feet) D(inches) #Vols Calculated Purge Volume Pump Time I JPurge Rate _ Actual Purge Volume Start ?I S8 Stop Time Elapsed Initial gpm If gallons Field Parameter Measurement Final gpm S Time Gallons Purged 00% DO(mglL) Cond 1 Cond 2 Salinity Temp Notes JJ (umhos/cm) (umhos/cm) to 03 St 9 L( s7 �?,33 1 (37 D ? 2 ( 3 f �>'3 to 7 t'Z_ I_3f (4(T-7 o -r -7-( 7571, ru 1 33�/ 1 y3q t)�1 4( 2 I tb 17. E 3.37 i33b 1YK 0-7 Zt- I I ' Observations During Purging(well Condition,Turbidity,Color,Odor,etc C( Purge Water Storage/Disposal ❑ Drum(s), Number ❑ Storm Sewer ❑ Sanitary Sewer Other/Comments Purge water contained in on-site 1,000 gallon poly tank pending analysisldisposal WELL SAMPLING 1 Sampled By - Sampling Date b/1 Y/DS Isaimpling Time i s J Sampling Method Water Leve!Before Sampling(in feet BTOC) l E Bailer-Type 3' DiS osable ❑ Same as Above 11 ❑ Submersible ❑ Whale ❑ Grab-Type ❑ Other ❑ Other-Type Sampling Distribution Sample Series - Sample No Containers,Vol ,# Analysis Preservative Lab- Comments_ _ * (�� (1) 1 L Amber 8015 None _ _ - Diesel _ MW-11C (3)40mL Voas 8260 HCl Seq ; Gasoline, BTEX, Fuel !Oxy's, 1,1-DCA, 1,2-DCA Other Notes