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BLAES EnviroomentaiManagement,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-106 <br /> 602-728-07117 <br /> Well Type ■ Monitor ❑ Remedial -VE AS <br /> WIte 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 /> olume Purge Date Purge Method <br /> Purge V <br /> Casing Diameter(D)in inches Bailer-Type 6' PVC <br /> E 2-inch ❑ 4-mch ❑ 6-inch [–] Other ❑ Submersible ❑ Submersible Whale <br /> Total Depth of Casing JD in feet BTOC) S qZ ❑ Other <br /> Water Level Depth(WL in feet BTOC) v I Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> El Near Bottom [I Near Top [I Other <br /> 3 ❑ 4 115 ❑ Other Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 40 <br /> SY b11 2 s 3 to 60 <br /> TD(feet) WL(feet) <br /> s9 q� f J X X X 0 0409 = L 6 l gallons <br /> D(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate jActual Purge Volume <br /> Start T sal Stop :ry'� Time Elapsed Initial gpm 3 gallons <br /> Field Parameter Measurements Final gpm <br /> - -- I <br /> Time Gallons Purged DO% DO(mg/L) (umhos/cm) (umh s/m) I Salinity Temp Notes <br /> 5_ 7 I t �– U. -T r_ Ll <br /> (, 0 tp u 07 <br /> S'A� 3 <br /> I I <br /> Observations During Purging(well Condition,Turbidity, Color,Odor,etc C. <br /> +.rr�.c Y✓u <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 /> WELL SAMPLING <br /> Sampled By: I GC ISampling Date Z.� Sampling Time <br /> Sampling Method Water Level Before Sampling (in feet BTOC) 5 Y Qr <br /> Bailer-Type 3' Dis osable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distr button Sample Series <br /> Analysis Preservative Lab i - Comments <br /> Sample No Containers,Vol ,# ` — <br /> (1) 1 L Amber 8015 None E i _ <br /> — eq - <br /> Diesel <br /> ---- <br /> (3) 40mL Voa's 15 Gasoline <br /> MW-1 L <br /> (3)40mlL Voa's I 8260 HCl 1 BTEX, Fuel Oxy's, 1,1- <br /> DCA, 1,2-DCA <br /> Other Notes <br />