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t <br />' BLAES Environinenta[Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well NO MW-913 <br /> 602-728-0707 <br /> Well Type ■ Monitor ❑ 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 <br /> ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date Purge Method <br /> Casing Diameter(D)in inches ❑ Bailer-Type <br /> 0 2-inch ❑ 4-inch ❑ 6-inch ❑ Other <br /> ❑ Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet BTOC) 47 -7-L 'I< ❑ Other <br /> Water Level Depth(WL in feet BTOC) _ �,�, kf a _ pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> 3 ❑ 4 ❑ 5 ❑ Other ❑ Near Bottom ❑ Near Top ❑ Other <br /> Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 52 <br /> "7 ?f 2 to 77 <br /> � <br /> r _ l <br /> f .31. Lf T J X 2 X 3 X 0 0409 = � '2 gallons <br /> TD(feet) WL(feet) D(inches) #Vols <br /> Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start Stop Time Elapsed Initial gpm rS r gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons Purged DO% DO(mg/L) Cond 1 Cond 2 Salinity Temp pH Notes <br /> (umhos/cm) (umhos/cm) <br /> v <br /> 1D 13 T6 7- 6., Q. t*, /,42-; il3v cJ,L 2z;ii. / <br /> I <br /> -- --- - --I - - -- - t - -- <br /> Observations During Purging(well Condition,Turbidity,Color, Odor,etc <br /> E 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 /> 1 Sampled By _ Sampling Date I Z /L' U"3 Sampling Time g t/ <br /> 1 Sampling Method Water Level Before Sampling(in feet BTOC) <br /> ❑ Bader-Type ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution Sample Series -- – — <br /> 5am le No _�— <br /> p _ I Containers,Vol,# Analysis Preservative I Lab I Comments <br /> Other Notes <br />