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IJ8 ES Environmental GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-5C <br /> 602-728-0707 <br /> Well Type ■ Monitor © Remedial-VE AS <br /> Site ID U-Haul##709-50 ❑ Other <br /> Project No 002-70950-04 Well Material ■ AVC ❑ St Steel <br /> Recorded By Greg Coffin ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date s/zsw Purge Method <br /> Casing Diameter(D)in inches ❑ Bailer-Type <br /> 0 2-inch ❑ 4-inch ❑ 6-inch (] Other E Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) " 4-1 ❑ Other <br /> Water Level Depth(WL in feet BTOC) s's 1 _ Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> 3 C] 4 [:15 ❑ Other 0 Near Bottom El Near Top E:1 Other <br /> Depth in feet(BTOC) <br /> Purge Volume Calulabon Screen Interval in Feet(BTOC) from 70 <br /> 2 to 90 <br /> :;-V- X 2 X 3 X 0 0409 = r r gZ gallons <br /> TD(feet) WL(feet) J D(inches) #Vols <br /> Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start )-r 7q Stop t`7 Y9 Time Elapsed /yInitial gpm f gallons <br /> EField Parameter Measurements Final gpm <br /> Time Gallons Purged DO% DOm !L Cond 9 Cond 2 <br /> ( 9 ) (umhoslcm) I (umhoslcm) Salinity Temp Notes <br /> d L(3 `3' y bZ 04ie7# - <br /> z c , 7-7---7 ev-P d+ll+ir <br /> IObservations Dunng 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 /> lSample4:B�Y= GC Sampling Date 2 zsy'0i� Sampling Time 1 O <br /> Sampling Method Water Level Before Sampling(in feet BTOC) TL of <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 Containers,Vol,# Analysis Preservative Lab Comments <br /> (1) 1 L Amber 8015 None Diesel <br /> MW-5C (3)40mL Voa's 8015 I HCI Seq Gasoline <br /> (3)40mL Voa's I 8260 HCl BTEX, Fuel Oxy's, 1.1- <br /> DCA, 1,2-DCA <br /> IOther Notes <br />