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BLAES Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue / J� <br /> Phoenix,Arizona 85003 Well No.: <br /> 602-728-0707 <br /> Well Type ■ Monitor ❑ Remedial- VE AS <br /> !Site ID U-Haul #709-50 Stockton CA ❑ Other <br /> Prosect No 002-70950-03Well Mateiial ■ PVC ❑ St Steel <br /> Recorded By B. McDaniel ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date: 1, <10 Purge Method f y <br /> Casing Diameter(D) in inches Bailer-Type <br /> ® 2 inch ❑ 4 Inch ❑ 6-inch ❑ OtherSubmersible <br /> ❑ w3� <br /> Total Depth of Casing JD in Feet BTOC) Other <br /> Water Level Depth (WL in Feet BTOC) `t8 Pump Intake Setting <br /> Number of Well Volumes (#Vols) to be Purged <br /> 0 Near Bottom [I Near Top [I Other <br /> N 3 ❑ 4 ❑ 5 ❑ Other Depth in feet (BTOC) <br /> Purge Volume Calulation Screen Interval in Feet (BTOC) from <br /> � -70 /0y S— X Z X X 0 0409 = J1 <br /> togallons <br /> TD(feet) WL(feet) D(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start Z-L Stop Time Elapsed Initial Qum X gallons <br /> Field Parameter Measurements Final ¢pm <br /> Time Time Lapsed Gallons Purged Cond l Cond 2 Sallnity Temp Notes <br /> (umbos/cm) (umhos/cm) <br /> . Z-cD 7 ZZ, � � <br /> Z <br /> -Z_If Z. 5 X35- ! 6•`f Z1--7 <br /> Observations During Purging(well Condition, Turbidity, Color, Odor, etc <br /> Purge Water Storage/Disposal ❑ Drum(s), Number ❑ Storm Sewer ❑ Sanitary Sewer <br /> Other/Comments P-151, <br /> WELL SAMPLING <br /> Sampled By: B McDaniel Sampling Date: 3 o-r- Sampling Time: /b 4f5— <br /> Sampling Method Water Level Before Sampling (in feet BTOC) <br /> E Bailer Type 3 ft Disposable ❑ Same as Above <br /> ❑ Submersible ❑ Whale ❑ Grab- Type <br /> ❑ Other ❑ Other Type <br /> Sampling Distribution Sample Series Fourth Quarter 2001 <br /> Sample No Containers, Vol, # Analysis Preservative Lab Comments <br /> tI'l) j� 2-40ml VOAs 8015 gas HCL Del Mar _ <br /> 2-40m1 VOAs 82608 HCL Del Mar _ <br /> 1-1 L Amber 8015 Dlese None Del Mar <br /> Other Notes <br />