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BLAES Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,ArizOna 85003 Well No MW-12C <br /> 602-728-0707 <br /> Well Type ■ Monitor ❑ Remedial -VE AS <br /> rte ID -..U-Haul #709-50 ❑ Other <br /> Project No 002-70950-04 Welt Material ■ PVC ❑ St Steel <br /> Recorded By Greg Coffin ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date ; Purge Method <br /> Casing Diameter(D)in Inches E Bader-Type 6' PVC <br /> 0 2-inch ❑ 4-inch ❑ 6-Inch [] Other ❑ Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 7 S Sul ❑ Other <br /> Water Level Depth(WL in feet BTOC) 5-Y rr-7 Pump Intake Setting <br /> Number of Well Volumes(##Vols)to be Purged <br /> ■ 3 ❑ 4ElNear Bottom El Near Top El Other <br /> ❑ 5 El Other Depth to feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 65 <br /> 2 tq 85 <br /> rz_7s <br /> gallons <br /> TD(fee) w(feet) X D(inches) X Vols X 0 0409 = <br /> Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start e. !K' Stop L t{ Time Elapsed Z. Initial <br /> Spm 13 gallons <br /> Field Parameter Measurements -Final gpm - - <br /> Time Gallons Purged DO% I DO m 1L Cond 1 Cond 2 <br /> 9 i ( 9 ) (umhos/cm) (umhos/cm) Salinity Temp Notes <br /> -77-S t4_ <br /> 6 y 7 L-e -7uy 7S I o <br /> r Ss s j z x t 7- _ 7 7" <br /> r-3 zs c? 7 7 jay _S7- <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 analysis/disposai <br /> WELL SAMPLING <br /> Isampled-W-1 GC - Sampling Date stzrr Sampling Time 6•�9 <br /> Sampling Method Water Level Before Sampling(in feet BTOC) SS n� <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 T Containers,Vol ,# Analysis Preservative Lab Comments <br /> (1) 1 L Amber 8015 None Diesel <br /> MW-12C {3)40rr L.Voa's 1 8015 HCl Seq Gasoline <br /> (3}40mL Voa's 8260 HCl BTEX, Fuel Oxy's, 1,1- <br /> :J )CA, 1,2-DCA <br /> Other Ngtes <br />