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BAF$ E.wronmentalManagement,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,ArizOna 85003 Well No MWA 1 B <br /> 602-728-0707 <br /> Well Type ■ Monitor ❑ Remedial-VE AS <br /> iqWSitelD— U-Haul #709-50 ❑ Other <br /> Project No 002-70950-04 Well Material ■ PVC ❑ St Steel <br /> Recorded By Greq Coffin ❑ Other <br /> WELL PURGING <br /> Purge Volume 1Purge Date Purge Method <br /> I Casing Diameter(D)to inches ❑ Bailer-Type <br /> 0 2-inch ❑ 4-inch ❑ 6-inch ❑ Other ❑ Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD In feet BTOC) -6$ 4,7 5 v ❑ Other <br /> I Water Level Depth(WL in feet BTOC) Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be Purged <br /> E 3 ❑ 4 [:15 ❑ Other ❑ Near Bottom ❑ Near Top ❑ Other <br /> Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 40 <br /> 64 r �7 1,u z to 60 <br /> 4 — '� v� J 2 3 `sy gallons <br /> I ` TD feet WL feet X X X 0 04Q9 = r] . <br /> (feet) (feet) a(inches) #Vols Calculated Purge Volume <br /> Pump Time JPurge Rate Actual Purge Volume <br /> Start, Stop SS 1 1, Time Elapsed Initialm <br /> 9P ( gallons <br /> Field Parameter Measurements anal gpm <br /> Time Gallons Purged- DO% DO(mg1L) (uCond m) (umbos!m} Salinity Temp pH Notes <br /> a3, 3 � vI `�+%� 15�f .73 <br /> 35 , 3 2-3 i ��� , <br /> I L �� <br /> � f <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/disposal <br /> WELL SAMPLING <br /> Sampled 6y ,n� Sampling Date lZ vx Sampling Time -F <br /> Sampling Method Water Level Before Sampling(In feet BTOC) <br /> r ❑ Bader-Type ❑ Same as Above <br /> I ❑ Submersible ❑ Whale ❑ Grab-Type <br /> ❑ Other ❑ Other-Type <br /> Sampling Distribution_—] Sample Series <br /> Sample No { Containers,Vol,# ! Analysts Preservative Lab Comments <br /> IOther Notes <br />