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BLAES Emironmental Management Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third A,enue <br /> Phoenix, 85,03 Well No MW-6B <br /> . 60 7728,707 <br /> Well Type ■ Monitor ❑ Remedial VE AS <br /> Site ID U Haul #709 50 ❑ Other <br /> Pro)ect No 002 70950 04 Wel) Material ■ PVC ❑ St Steel <br /> Recorded By Greg Coffin ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date Purge Method <br /> Casing Diameter(D)in inches ❑ Bailer Type <br /> E2 inch ❑ 4 inch ❑ 6 inch ❑ Other <br /> ❑ Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet 72 ❑ Other <br /> Water Level Depth(WL in feet t3TOC) Pump Intake Setting <br /> Number of Well Volumes(# Vols)to be <br /> 3 El 4 El 5 1:1 Other ❑ Near Bottom El Near Top El other <br /> Depth in feet(BTOC) <br /> Purge Volume Calulat�on Screen Interval in Feet(BTOC) from 52 <br /> r 72 _ 2 z to 72 <br /> y TD(teet) wr c�� X X 3 X 0 0409 = t r,I gallons <br /> D(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start , � L(5 Stop f V rVTime Elapsed Initial gpm f LJ gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons <br /> Purged D0 DO(mg/L) Cond 1 Cond 2 Salinity Temp pH Notes <br /> / g (umhos/cm) (umhos/cm) <br /> L Z� tl <br /> u'7, (� j' -7 <br /> -7 'LIZ tZ`n-r, U L <br /> Observations During Purging(well Condition Turbidity Color Odor etc S p 5�� <br /> Purge Water Storage/Disposal C] Drum(s) Number <br /> ❑ Storm Sewer El 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 pate_-5. - k _c1_�_ Sampling Time -JAQ0 <br /> Sampling Method �, j Water Level Before Sampling(in feet BTOC) <br /> Bailer Type 4 / vh '`°`G' d ❑ Same as Above <br /> ❑ Submersible ❑ Whale gGrab Type <br /> ❑ Other ❑ Other Type <br /> Sampling Distribution Sample Series <br /> Sample No Containers, Vol # Analysis Preservative Lab Comments <br /> Other Notes <br />