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BLAES en,,,onmenta,Management Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third A%enue <br /> Phoenix.Arizona 85003 Well No MW-11C <br /> . 602-728 0707 <br /> Wel! Type ■ Monitor ❑ Remedial VE AS <br /> Site ID U Haul #709 50 ❑ Other <br /> Project No 002 7095004 Well Material ■ PVC ❑ St Steel <br /> Recorded By Greg Coffin ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date b/� Purge Method <br /> Casing Diameter(D) In inches ;9 Ba0er Type y I c — vG <br /> E 2 inch [] 4 inch ❑ 6 inch ❑ Other <br /> ❑ Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet 85 ❑ Other <br /> Water Level Depth(WL in feet BTOC) u4-`70 Pump Intake Setting <br /> Number of well Volumes(#Vols)to be <br /> El Near Bottom El Near Top ❑ Other <br /> ■ 3 ❑ 4 ❑ 5 ❑ Other Depth in feet (BTOC) <br /> Purge Volume Calulation Screen interval in Feet(8T0C) from 65 <br /> 2 3 to $5 <br /> 85 — 2 <br /> ( ) t -] �3 X X X 0 0409 = gallons <br /> TD feet WL D{inches) p Vols Calcu€ated Purge Volume <br /> r Pump Time Purge Rate Actual Purge Volume <br /> Start Stop Time Elapsed Initial gpm (-7 r gahlons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons <br /> Purged DO% DO(mg/L) (umhos/cm) (umhods/m) Salinity Temp pH Not Ps <br />� . S 15- d - l 'Tb 1 f 1'? t-7 0 7 /� G <br /> 7 _ f�fJ� jZ`(JI, V -7 (err <br /> 7 s is ( 7 <br /> �S, 5 17S t `6 f r 6-7 1310 G`7 r `r <br /> 1 <br /> Observations During Purging(well Condition Turbidity Color Odor etch¢ <br /> Purge Water Storage/Disposal ❑ Drum(s) Number <br /> ❑ 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 'j Sampling Time <br /> Sampling Method Water Level Before Sampling(in feet BTOC) Al LZ <br /> Bailer Type _ 41 Of 'VJ r„ � ❑ Same as Above <br /> ElSubmersible El Whale Grab Type <br /> ❑ Other ❑ Other Type <br /> Sampling Distribution Sample series <br /> Sample No Containers Vol # Analysis Preservative Lab Comments <br /> l M oj' gcti I <br /> t <br /> Other Notes <br />