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BLAES Emrroomental Management Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue - <br /> Phoenix Arizona 85003 Well No MW-6C <br /> 602 728 0707 <br /> Wel! Type ■ Monitor ❑ Remedial VE A5 <br /> Site ID U Haul #709 50 ❑ Other <br /> Project No 002 7095004 Weil 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 T ❑ Bailer Type <br /> ■ 2 inch ❑ 4 inch ❑ 6 Inch ❑ Other <br /> ❑ Submersible ❑ Submersible Whale <br /> Total Depth of Casing JD in feet 901 ❑ Other <br /> Water Level Depth(WL in feet BTOC) -;Z ' <br /> Pump Intake Setting <br /> Number of well Volumes(# Vols)to be <br /> [:J Near Bottom [1 Near Top El Other <br /> E 3 ❑ 4 ❑ 5 ❑ Other Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval In Feet(BTOC) from 70 <br /> _ 90 <br /> 90 X 2 Z X 3 X 0 0409 = I ~�� to gallons <br /> TD(feet) WL JI D(inches) #vols <br /> Calculated Purge volume <br /> 1 Pump Time Purge Rate Actual Purge Volume <br /> Start r r'17 Stop 111 71 Time Elapsed Initial gpmg allons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons DO <br /> Pur ed % DO( 8mglL <br /> ) Gond 1 Cpnd 2 Salinity Temp pH Notes <br /> (umhos/cm) (umhos/cm) `i <br /> C', y s� <br /> LS `� i i YL` L�rc � 7 U `; <br /> Observations During Purging(well Condition Turbidity Color Odor etc <br /> I 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 By _ Sampling Date `� (G G 3 Sampling Time Y <br /> Sampling Method Water Level Before Sampling(In feet BTOC) S.2 <br /> I � -4 ,s 1 — <br /> Bailer Type 3 C ,1P �{+9 G{ ❑/, Same as Above <br /> rCSacmpling <br /> ubmersible ❑ Whale1,3 Grab Type <br /> ther C3Other Type <br /> Distribution Sample Series <br /> Sample No Containers Vol , # Analysis Preservative Lab Comments <br /> Sz re 1L— <br /> Other Notes <br />