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BLAES Eavironmental Mane ement,Inc <br /> � GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-2C <br /> 602-728-0707 <br /> Well Type ■ Monitor 11Remedial -VE AS <br /> Ite ID <br /> —g-Haul #709-50 ❑ Other <br /> Protect No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By Greg Coffin 0 Other <br /> WELL PURGING <br /> Purge Volume Purge Date [Purge Method <br /> Casing Diameter(D)in inches ❑ Bader-Type <br /> E 2-inch ❑ 4-inch ❑ 6-inch ❑ Other <br /> Total Depth of Casing(TD in feet BTOC) ;? El Other Submersible Whale <br /> ❑ <br /> Water Level Depth(WL in feet BTOC) n-bt' Pump Intake Setting <br /> I Number of Well Volumes(#Vols)to be Purged <br /> 3 ❑ 4 El 5 1:1 Other E Near Bottom ❑ Near Top ❑ Other <br /> Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 75 <br /> z <br /> to 100 <br /> S 7 vr, 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 /y02— Stop l'/ LO Time Elapsed �`` initial gpm Z ( gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons Purged Dd% DO m IL Cond 1 Coed 2 <br /> ( g ) (umhoslcm) (umhoslcm) Salinity Temp Notes <br /> z <br /> -p4 7- o q s, <br /> V. w r 7 L 0 61 t p Y 2 z_ � <br /> Observations During Purging(well Condition,Turbidity,Color,Odor,etc <br /> Purge Water Storage/Disposal ❑ Drum(s),Number [] Storm Sewer ❑ Sanitary Sewer <br /> ,. Other/Comments Purge water contained in on-site 1,000 gallon poly tank pending analysis/disposal <br /> WELL SAMPLING <br /> Sampled B�Y= GC ISampling Date 04 Sampling Time �i <br /> ISampling Method Water Level Before Sampling(in feet STOC) <br /> N Bailer-Type 3' Disposable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> Sample No I Containers,Vol,#— I Analysis Preservative Lab Comments <br /> I (1) 1 L Amber 8015 None Diesel <br /> MW-2C (3)40mL Voa's I 8015 _I NCl Seq I Gasoline <br /> I (3)40mL Voa's 8260 Full List + Fuel Oxy's <br /> I <br /> Other Notes <br />