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BLAES Environmental GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-6C <br /> 602-728-0707 <br /> Well Type ■ Monitor 13 Remedial-VE AS <br /> Site ID U-Haul #709-50 ❑ Other <br /> I Project No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By Greg Coffin 0 Other <br /> I WELL PURGING <br /> Purge Volume IPurge Date z <br /> S`� &ja JPurge Method <br /> Casing Diameter(D)in inches — -_ ❑ Barter-Type <br /> 0 2-inch ❑ 4-inch ❑ 6-inch ❑ Other E Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 5 7.1Z ❑ Other <br /> Water Level Depth(WL in feet BTOC) 7r t/ Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> o <br /> 3 El 4 [-] 5 El Other ttom El Near Tap Other <br /> Depth in feet(BTOC) -4 -70, <br /> Purge Volume Calulation Screen Interval in Feet(STOC) from 70 <br /> 7_i z 2 2 3 to 90 <br /> rD treat) WL rest X X X 0 0409 = Y 71 gallons <br /> (feet) D(inches) #Vols Calculated Purge Volume <br /> Pump Time JPurge Rate Actual Purge Volume <br /> Start I7—E/ Stop -P 'N Time Elapsed ZaInitial gpm /S gallons <br /> I Field Parameter Measurements I <br /> Final gpm <br /> Time Gallons Purged' DO% DO(mg1L) Cond 1 Cond 2 Salinity Temp Notes <br /> (umhos/cm) (umbos/cm) <br /> -7 7 <br /> x'77 B T� rJ yt� r /7S` i // 4G D b Z_3' <br /> 0V1 0� <br /> I ��f r5- s y y� rise r r ?z o b i <br /> Observations During Purging(well Condition,Turbidity,Color, Odor,etc <br /> v c�kr <br /> I <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 By, I GC Isampling Date ISam)ling Time 11, <br /> ISampling Method Water Level Before Sampling(in feet BTOC) 7. <br /> Sailer-Type 3' Disposable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other <br /> ❑ Other-Type <br /> Sampling Distribution Sample Series <br /> Sample No�- 1 Containers,Vol ,# Analysis Preservative ILab �Comments <br /> (1} 1 L Amber 8015 None i _ Diesel <br /> MW-6C ! (3)40ML Voa's i 8015 HCI Seq Gasoline _ <br /> I j (3)40mL Voa's 8260 HCI BTEX, Fuel Oxy's, 1,1- <br /> DCA, 1,2-DCA <br /> IOther Notes <br />