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BLAES Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue �^ r ,, <br /> Phoenix,Arizona 85003 Well No.: /t'1,{/V ` <br /> . 602-728 0707 <br /> Well Type ■ Monitor ❑ Remedial - VE AS <br /> Site 1D U-Haul #709-50 Stockton CA ❑ Other <br /> Prosect No 002-70950-03 Well Material ■ PVC ❑ St Steel <br /> Recorded By B. McDIniel ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date: )-2-11 Z j Purge Method <br /> Casing Diameter(D) in Inches ❑ Bader Type <br /> ❑ 2 inch ❑ 4-Inch ❑ 6 Inch ❑ Other ® Submersible I e <br /> Total Depth of Casing(TD in feet BTOC) `�/ ❑ Other Z`V 6--,V vtWZ S <br /> Water Level Depth (WL in feet BTOC) m <br /> Pump Intake Setting <br /> Number of Well Volumes (#Vols) to be Purged <br /> E Near Bottom Ll Near Top ❑ Other <br /> E3 ❑ 4 ❑ 5 ❑ Other Depth in feet (BTOC) �C�5� <br /> Purge Volume Calulation Screen interval in Feet(BTOC) from <br /> � M1 to <br /> � _ 2 Ste/ x Z X 3 X 0 0409 = g gallons <br /> TD(feet) WL(Feet) J D(inches) #Vols <br /> Calculated Purge Volume <br /> Pump Time d Purge Rate Actual Purge Volume <br /> Start Stop /6-0 Time Elapsed ]nival ! Rom gallons <br /> Field Parameter Measurements Final - 1 Spm <br /> Time Time Lapsed Gallons Purged Cond I Cord 2 Salinity Temp Notes <br /> (unthos/cm) (umhos/cm) <br /> er 3 0 y z0 '3 <br /> q,o c� It 3 g-51-t0 `-f ?�. g screc c l <br /> Observations During Purging(well Condition, Turbidity, Color, Odor, etc A/ ,e1Zo `'!L <br /> Purge Water Storage/Disposal ❑DrumA051" <br /> Number El Storm Sewer ❑ Sanitary Sewer <br /> Other/CommentsE.«.+L - <br /> WELL SAMPLING <br /> 'Sampled By: B McDaniel Sampling Date: I Sampling Time: <br /> Sampling Method Water Level Before Sampling(in feet BTOC) 3 q <br /> 0 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 /> lf� f 2-40ml VOAs 8015 gas HCL Del Mar <br /> 2-40ml VOAs 8260E HCL Del Mar <br /> t+ 1-1 L Amber $015 Dlese None Del Mar <br /> Other Notes <br />