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BLAES EnviroomentalManagement,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No MW-3C <br /> 602-728-0707 <br /> Well Type ■ Monitor 11 Remedial -VE AS <br /> Site ID U-Haul #709-50 ❑ Other <br /> Project No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By Greg Coffin 0 Other <br /> WELL PURGING <br /> Purge Volume Purge Date Purge Method <br /> Casing Diameter(D)in inches ❑ Bader-Type <br /> 2-inch ❑ 4-inch ❑ 6-inch ❑ Other <br /> ❑ Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 1$13' 9`? Z ❑ Other <br /> I Water Level Depth(WL in feet BTOC) _ S 7 t(S Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> ❑ Neat Bottom El Near Top [_1 Other <br /> E 3 ❑ 4 115 ❑ Other Depth in feet(BTOC) <br /> Purge Volume Caiulation Screen Interval in Feet(BTOC) from 75 <br /> r -t��Z _ 2 to 100 <br /> l s7 X 2 X 3 X 0 0409 = 7 f &z gallons <br /> l\\ TD(feet) WL(feet) p(inches) #Vols Calculated Purge Volume <br /> Pump Time I JPurge Rate JActual Purge Volume <br /> Start IS q Stop Time Elapsed Initial gpm ;-0 gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons Purged DO% DO(mg1L) Cond 2 Salinity Temp pH Dotes <br /> (umhoslcm) (umhoslcm) <br /> i <br /> t S 2.r Cl 7 y" ch'Z t Fl"/ 7 U <br /> r % 09- O <br /> <3 X537 y�3 f�,Y 7J, f <br /> Observations During Purging(well Condition,Turbidity Color,Odor,etc <br /> Purge Water Storage/Disposal ❑ Drum(s) Number — El Storm Sewer E] 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. Isampling Date J /Z IlWd7Sampling Ttme id �� <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 Series <br /> Sample No Containers Vol,# I Analysis Preservative Lab I Comments <br /> Other Notes — <br />