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i II <br /> BLAS$ EmironmentalManagement,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Thud ANenoe <br /> Phoema,Arizona 85003 Well No MW-10B <br /> 1,02 728 0707 <br /> Well Type ■ Monitor © Remedial VE AS <br /> Site ID U Haul #709 50 ❑ Other <br /> i Project No 002 70950 04 Well Material ■ PVC ❑ St Steel <br /> Recorded By Greg Coffin ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date 5 - - C 3 Purge Method <br /> i Casing Diameter(D) in inches ❑ Bailer Type <br /> N 2 inch ❑ 4 inch ❑ 6 inch ❑ Other {R Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet 60 ,1 El Other <br /> Water Level Depth (WL in feet BTOC) -7 I _ Pump Intake Setting <br /> Number of Well Volumes(#Vols)to be <br /> Near Bottom ❑ Near Top El Other <br /> i E 3 ❑ 4 ❑ 5 ❑ Other Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 40 <br /> 2 yJ, <br /> r X 2 X 3 X 0 0409 = ✓ to 60 <br /> • V l gallons <br /> 1 7D{feet} WL D(inches) #Vols Calculated Purge Volume <br /> I Pump Time Purge Rate Actual Purge Volume <br /> Start I ' Stop IZ-Lj Time Elapsed Initial '� gpm (� gallons <br /> ^ i � <br /> Field Parameter Measurements Final gpm <br /> Time Gallons DO% DO(mg/L) Cond 1 Cond 2 Salinity Temp pH Notes <br /> Purged (umhos/cm) (umhos/cm) <br /> 10 << _5 11 Ll �J� i3e L Y — <br /> i c I j 4 4 d G Q� i.11/4 0 7 `� �: � 21 -r .� <br /> 75 II95' i�SY 0 6 12 6 <br /> Observations During Purging(well Condition Turbidity, Color Odor etc ,.� -stir�, ¢ r A,e, <br /> turf .`Cwr•.� �l-� � �l'� ,1 `�� lift y" � c-�( sl, tMl rat•i <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 _ J - - �� Sampling Time c, <br /> Sampling Method Water Level Before Sampling(in feet BTOC) Hf 71 <br /> Bailer Type t�i�r UJr (� ❑ Same as Above <br /> D Submersible ❑ Whale Grab Type <br /> ❑ Other ❑ Other Type <br /> Sampling Distribution Sample Series <br /> i Sample Na Containers Vol # Analysis Preservative Lab Comments <br /> Other Notes <br /> I <br />