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BLAES Environmental Management,Inc <br /> GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-3C <br /> 602-728-0767 <br /> Well Type ■ Monitor ❑ Remedial -VE AS <br /> Ite 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 Purge Date �f�ra� f Purge Method <br /> Casing Diameter(D)in inches ❑ Bader-Type <br /> 0 2-inch ❑ 4-inch ❑ 6-inch ❑ Other N Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet STOC) 1-7 s 5-3 ❑ Other <br /> Water Level Depth(WL in feet BTOC) SC_ +.� Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> E 3 ❑ 4 r Bottom ® Near Top El Other <br /> ❑ $ ❑ Other Depth in feet(BTOC) —b , <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 75 <br /> g �32 to 100 <br /> To <br /> (fest) wL(fee) ) X D(inches) X #Vo3 X 0 0409 = / 9 v gallons <br /> Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start 9? 7-1 Stop 4 s-Y Time Elapsed Initial gpm gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons PurgedAO% DO m !L Cond 1 Cond 2 <br /> ( g ) (umhoslcm) (umhoslcm) Salinity Temp Notes <br /> 0--7 '�;Z t'(a � I d 7- <br /> y`3 r Y r7 93f z Y_7- <br /> 0 �i t `i's C7 n sr Z T . <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 analysrs/disposal }` s <br /> WELL SAMPLING r _, <br /> Sampled By- GC Sampling Date -,Iz,iIw Sampling Time <br /> Sampling Method Water Level Before Sampling(in feet BTOC) <br /> Bailer-Type _ 3' Disposable _ ❑ Same as Above <br /> I ❑ Submersible ❑ Whale _ ❑ Grab-Type <br /> ❑ Other <br /> ❑ Other-Type <br /> Sampling Distribution ISample Serres <br /> Sample No Containers,Vol,# Analysis Preservative Lab f — Comments <br /> (1) 1 L Amber 8015 None ! Diesel <br /> MW-3C L (3)40mL Voa's I 8015 HCl �_ Gasoline _ <br /> Seq i BTEX, Fuel Oxy's, 1,1- <br /> (3)40mL Voa's 8260 HCl <br /> DCA, 1,2-DCA <br /> Other Notes <br />