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i <br /> BLAS$ Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> I 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well NO MW-46 <br /> 0101,721-0701 <br /> Well Type ■ Monitor ❑ Remedial-VB AS <br /> Site ID U-Haul #709-50 ❑ Other <br /> Protect No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By Greg Coffin ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date Purge Method <br /> I Casing Diameter(D)in inches ❑ Bader-Type <br /> E 2-inch ❑ 4-inch ❑ 5-inch 0 Other <br /> ❑ Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) _ (0 7-,,j1 ❑ Other <br /> Water Level Depth(WL in feet BTOC) pump Intake Setting — <br /> Number of Well Volumes(#Vols)to be Purged ❑ Near Bottom ❑ Near Top ❑ Other <br /> 03 ❑ 4 ❑ 5 ❑ Other Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 45 <br /> 2 to 70 <br /> l <br /> J X Z X 3 X 0 0409 gallons <br /> l TD(feel} WL(feet) D(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate jActual Purge Volume <br /> Start L Ll1 Stop Z<7 Time Elapsed Initial gpm <br /> gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons Purged DO% DO(mg/l-) uCond Cond 2 Salinity Temp pH Notes <br /> ( m) (umhos/cm) <br /> -7 -7 7 Y-5 3 e:A L <br /> Observations During Purging(well Condition,Turbidity,Color Odor etc <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 ~'r+� Sampfing Date 12-/1.o/t,3 ISampling !i=me <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,# _Analysis _ Preservative _ Lab i Comments <br /> 1 <br /> Other Nates <br />