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BLAES EnwonmematManagement the GROUNDWATER SAMPLING FORM <br /> 1417 North T hard A,enuc <br /> Phoenix Arizona 85003 Well No MW-12B <br /> 602 128 0707 <br /> Well 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 �i- —0.3 Purge Method r <br /> r Casing Diameter(D) in inches RBaller Type ?� 1 <br /> 0 2 inch ❑ 4 inch ❑ 6 inch ❑ Other <br /> ❑ Submersible ❑ Submersible Whale <br /> Total Depth of Casing(TD in feet 60 ❑ Other <br /> Water Level Depth(WL in feet BTOC) '"`, li 7 Pum} Intake Setting <br /> Number of Well Volumes(#Vols)to be <br /> [:1 Near Bottom ❑ Near Top ❑ Other <br /> r <br /> E3 [:14 [15 ❑ Other Depth in feet(BTOC) <br /> Purge Volume Calulation Screen Interval in Feet(BTOC) from 40 <br /> 2 to 60 <br /> 60 — i�{.� 7� X 2 X 3 X 0 0409 = `t s � gallons <br /> (_7D(feet) WL D(inches) #Vols Calculated Purge Volume <br /> r Pump Time Purge Rate Actual Purge Volume <br /> Start Stop Time Elapsed Initial gpm `� gallons <br /> Field Parameter Measurements Final gpm <br /> Time Gallons DO% DO m /L <br /> Cand 1 Cond 2 <br /> { g ) Salina Tem H Notes <br /> . Purged (umhos/cm) (umhos/cm) y p P <br /> r zs •. 1 11. 7 L /oily 1113 0 . 4 <br /> r.Z5`f 3 !`f 1l j Z4 Io L- ] _ I1 G7 <br /> ,.t 5 7 't S ,if s 1 Z7 fc, ] L t 175- 3 <br /> 13c 10 -t 0, yL tr, C' t, <br /> Observations During Purging(well Condition, Turbidity Color Odor, etc Ory <br /> cim 1i r it: 5-E k l r ii'd n_, - <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 5'- (6 -03Sampling Time �� 1 <br /> Sampling Method Water Level Before Sampling(in feet BTOC) -Tq <br /> r 1 � <br /> 5'Bailer Type 7 WA il CA,%) ❑ 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 /> Jc <br /> Tu <br /> J.�" <br /> Other Notes <br />