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F <br /> BLAES Ernironmental(Management Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix Arizona 85003 Well No MW-2C <br /> 602 728-0707 <br /> Well Type ■ Monitor ❑ Remedial VE AS <br /> Site ID U Haul #709 50 ❑ Other <br /> 1 Project No 002 70950 04 Well Material ■ PVC ❑ St Steel <br /> Recorded Ry Greg Coffin . . ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date L(077 Purge Method <br /> Casing Diameter(D) in inches ❑ Bailer Type <br /> 0 2 inch [] 4 Inch ❑ 6 inch ❑ Other ❑ Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet 100 ❑ Other <br /> Water Level Depth(WL In feet STOC) Pump Intake Setting <br /> Number of Well Volumes(# Vols)to be E-1NearTop El Other <br /> [I Near Bottom <br /> 0 3 ❑ 4 ❑ 5 ❑ Other Depth in feet(BTOC) <br />' Purge Volume Calulation Screen Interval in Feet(BTOC) from 75 <br /> 2 to 100 <br /> X 2 X 3 X 0 0409 = 4-� j gallons <br /> l` TD(feet) WL J D(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br />' Start Stop � 'J ff Time Elapsed Initial gpm 2-`� gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons DO% 00(mg/L) Cond I Cond 2 Salinity Temp pH Notes <br /> 1 J Purged (umhos/cm) (umhos/cm) <br /> /S t3 10 _e r D 7 Z_ <br /> -S. �-- a -7L/ _ cErL It ' (2 q <br /> Is as z 6 o z a q z(. y `- <br /> r0 91717 rte. tt Z_ f.T-- <br /> Observations During Purging(well Condition Turbidity Color Odor etc C 41, <br /> i Purge Water Storage/Disposal ❑ Drum(s), Number— El 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 Sampling Date _ Sampling Time <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 # — Analysis Preservative Lab Comments <br /> Other Notes <br />