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BLAE$ Env�ronmentalMaaagement,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Anxona 85003 Well No MW-2C <br /> 602-728-4707 <br /> Well Type ■ Monitor ❑ Remedial-VE AS <br /> Site ID __g-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 7-If-A 3 Purge Method 7 <br /> /� 1) 1l <br /> Casing Diameter(D)in inches Bailer-Type wit I�$ Z- <br /> 2-inch <br /> 2-inch ❑ 4-inch [-] 6-inch [:] Other <br /> ® Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) +90 ` j- 7-6 ❑ Other <br /> Water Level Depth(WL in feet BTOC) Sys i Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> 3 El 4 [_1 5 E:1 Other ❑ Near Bottom E] Near Tap ❑ Other <br /> Depth in feet(BTOC) <br /> Purge Volume Calulatron Screen Interval in Feet(BTOC) from 75 <br /> -M --.-S _ 11 2 to 100 <br /> 449- ° J X 2 X 3 X 0 0409 = /9 7 7 gallons <br /> TD(feet) Wt (feet) D(inches) #Vols <br /> Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start /5 'L/f Stop Time Elapsed Initial gpm gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons Purged DO% DO m !L Cond 1 Cvnd 2 <br /> ( g ) (umhos/cm) (umhos/cm) salinity Temp pH Notes <br /> 1 iS . r3 rl ry / p7 �G_a ��� } <br /> ?7 77 'a '17 <br /> a '1 `7 — <br /> f 6'vy ; rT V c, US-G I _-0-ri0 S7-w Z ( I, <br /> I C _ Zl=) -7- 7 `7 'SrS "r-VL- �� ' r_u <br /> -- -- - - -- -�--- ---- <br /> Observations During Purging(well Condition,Turbidity,Color,Odor etc <br /> Purge Water Storage/Disposal [l Drum(s),Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> Other I Comments Purge water contained in on-site 1,000 gallon poly tank pending analysis/disposal <br /> WELL SAMPLING <br /> Sampled By Sampling Date IZ Sampling Time iU <br /> Sampling Method Water Level Before Sampling(in feet BTOC) <br /> ❑ Bailer-Type ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Serres <br /> Sample No Containers,Vol,# I Analysis Preservative L Lab i Comments <br /> 1 I <br /> I <br /> Other Notes <br />