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BLAES Environmental lHanagement,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue <br /> Phoenix,Arizona 85003 Well No.• Y1? L� fC <br /> 602-728-0707 <br /> Well Type ■ Monitor ❑ Remedial - VE AS <br /> Site ID U-Haul #709-50, Stockton, CA ❑ Other <br /> Prosect No 002-79950-03 Well Material ■ PVC ❑ St Steel <br /> Recorded By B. McDgniel © Other <br /> WELL PURGING <br /> Purge Volume Purge Date: r Purge Method <br /> Casing Diameter (D) in inches ❑ Bader-Type <br /> 2 inch ❑ 4 inch ❑ 6-inch ❑ Other B r <br /> Submersible Sabmerstbk-wt13re <br /> Total Depth of Casing(TD in feet BTOC) 9r1 ❑ Other -rct r t��(� <br /> Water Level Depth (WL in feet BTOC) Ste, y / f <br /> Number of Well Volumes (#Vols) to be Purged Pump Intake Setting <br /> Near Bottom ❑ Near Top ❑ Other <br /> 3 1:1 4 El S 1:1 Other Depth in feet (BTOC) <br /> Purge Volume Calulation Screen Interval in Feet (BTOC) from <br /> C 9'_ _ '_ > -1 1 2 �' — to <br /> TD (feet) WL(feet) J x X `� X 0 0409 — 2-1 gallons <br /> D(inches) #Vols Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start /�'/ Z� Stop Time Elaosed initial wni <br /> f gallons <br /> Field Parameter Measurements Final ¢om <br /> Time Time Lapsed Gallons Purged Cond I Cord 2 <br /> g (umhos/cm) (umbos/cm)Ar <br /> Salinity Temp Notes <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 �i T <br /> WELL SAMPLING <br /> Sampled By: B McDaniel Sampling Date: z/0 Sampling Time: 22_ <br /> ,Sampling Method Water Level Before Sampling (In feet BTOC) <br /> 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 /> *V�id-Se - I� Cl 2-40ml VOAs 8015 gas HCL Del Mar <br /> t t/ 2-40ml VOAs 8260B HCL Del Mar <br /> 1-1 L Amber $015 Dlese None Del Mar <br /> Other Notes <br />