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BLAES EaviroomentalMaoagement,Inc GROUNDWATER SAMPLING FORM <br /> I 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-1B <br /> Algbli2-728-0707 <br /> Well Type ■ Monitor Cl Remedial -VE AS <br /> Wlte ID U-Haul #709-50 ❑ Other <br /> Project No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By Greg Coffin ❑ Other <br />' WELL PURGING <br /> Purge Volume JPurge Date -t �Di Purge Method <br /> Casing Diameter(D)in inches ❑ Bailer-Type <br /> 0 2-inch ❑ 4-inch ❑ 6-inch ❑ Other N Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 7q" ❑ Other <br /> Water Level Depth(WL in feet BTOC) 5";E 47 Pump Intake Setting <br /> I Number of Well Volumes(##Vols)to be Purged <br /> 3 El 4 [:] 5 El Other 0 Near Bottom El Near Top [I Other <br /> Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(8TOC) from 52 <br /> _ z to 77 <br /> TD feet) w�e� X_ X 3 X 0 0409 = q-�s gallons <br /> ) (feet) D(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start 13' z$ Stop IT y/ Time Elapsed r, Initial gpm I b gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons Purged DO% DO(mg/L) Cond 1 Cond 2 Salinity Temp Notes <br /> (umhos/cm) (umhos/cm) , <br /> 7 y <br /> IObservations During Purging(well Condition,Turbidity,Color,Odor,etc 4� �. <br /> Purge Water Storage/Disposal [] Drum(s),Number [] Storm Sewer ❑ Sanitary Sewer <br /> i Other!Comments Purge water contained in on-site 1,000 gallon poly tank pending analysis/disposal <br /> IL WELL SAMPLING <br /> Sampled By J GC Sampling Time <br /> Sampling Method Water Level Before Sampling(in feet STOC) ,q <br /> Bailer-Type 3' Disposable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other <br /> ❑ Other-Type <br />` Sampling Distribution Sample Series <br /> Sample No Containers,Vol,# ; Analysis I Preservative Lab f Comments <br />! (1) 1 L Amber 8015 None ! j Diesel <br /> L_ <br /> MW-1 B (3)44mL Voa's 8415,1� HCI ; <br /> Seq Gasoline <br /> I <br /> (3)40mL Voa's 8264 NCI BTEX, Fuel Oxy's, 1.1- <br /> DCA, 1,2-DCA <br /> Other Notes <br />