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BLAES Environmental Management,g t,In C GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> I Phoenix,Arizona 85003 Well No MW-4B <br /> 602-728-0707 <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 ;f7jet/ Purge Method <br /> Casing Diameter(D)in inches - - ❑ Bailer-Type <br />' ■ 2-inch ❑ 4-inch ❑ 6-inch ❑ Other E Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet STOC) U7,-Tt ❑ Other <br /> Water Level Depth(WL in feet BTOC) S_I- tl-- Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> 3 ❑ 4 EJ 5 El Other 0 Near Bottom El Near Top El Other <br /> Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 45 <br /> 6?_-7 1 <�.v,:. 2 <br /> z to 70 <br /> feet <br /> TD(feet) WL X X 3 X 0 0409 = .Z3 gallons <br /> { D(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate lActual Purge Volume <br /> Start /Z 44 Stop t Z Z<'Time Ela sed !? <br /> P Iridial gpm gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons Purged DO% DO(mglL) Cond 1 Cond 2 Salinity Temp Notes <br /> (umhoslcm) (umhoslcm) ; <br /> i� <br /> 7_.::` 0'/ 13 /p7IpLL J z-7 L <br /> 3 041 tv;�f r�vb J c�� -75` <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 analysts/disposal <br /> '1 WELL SAMPLING <br /> Sampled By GCM Date �rz��w1 Sampling Time '�.' K_ <br /> Sampling Method Water Level Before Sampling(in feet BTOC) AZA <br /> E 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 Comments <br /> (1) 1 L Amber 8015 None L Diesel <br /> MW-4E I (3)40mL Voa's ; 8015 HCI Gasoline <br /> (3) <br /> F <br /> t (3) 40mL Voa's 8260 HCI Q BTEX, Fuel Oxy's, 1.1- <br /> DCA, 1,2-DCA <br /> Other Notes <br />