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BLAES Environmental Management,Inc GROUNDWATER SAMPLING FORM <br /> 1433 North Third Avenue �} r <br /> Phoenix,Arizona 85003 Well No.: /'!� ��f— > 6 <br /> 602-728 0707 ,..._ <br /> Well Type ■ Monitor 0 Remedial - VE AS <br /> Site ID U-Haul #709-50Stockton CA 0 Other <br /> Prosect No 002-70950-03 Well Material ■ PVC ❑ St Steel <br /> Recorded By B. McDanigi ❑ Other <br /> WELL PURGING <br /> Purge Volume Purge Date: r ���/G r Purge Method <br /> Casing Diameter(D) in Inches ❑ Bailer Type <br /> P0 2-Inch ❑ 4 Inch ❑ 6-Inch ❑ Other ❑ Submersible -W%bineisible Whale <br /> '' <br /> Total Depth of Casing(TD in feet BTOC) 7C S ❑ Other <br /> Water Level Depth (WL in feet BTOC) _Z- `fl Pump Intake Setting <br /> Number of Well Volumes (#Vols) to be Purged <br /> 0 Near Bottom 11 Near Top El Other <br /> E 3 ❑ 4 ❑ 5 ❑ Other Depth in feet (BTOC) (cam <br /> Purge Volume Calulation Screen Interval in Feet (BTOC) from <br /> 2 to <br /> 7G.S- � L 't 1 X X X 0 0409 =_ l _ gallons <br /> TD(feet) WL (feet) ) D(inches) #Vols <br /> Calculated Purge Volume <br /> Pump Time Purge Rate Actual Purge Volume <br /> Start _17- CIE- Stoo 12- r 7 Time Elapsed Initial zpm <br /> gallons <br /> Field Parameter Measurements Final gpm <br /> Time Time Lapsed Gallons Purged Cond 1 Cand 2 Salinity Temp Notes <br /> (umhos/cm) (umhos/cm) <br /> C- <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 <br /> WELL SAMPLING <br /> Sampled By: B McDaniel Sampling Date: 4j2_///A f Sampling Time: C <br /> !Sampling Method Water Level Before Sampling (in feet BTOC) �;_2 �LNi Z4 <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 /> Z C 1 2-40iml VOAs 8015 gas HCL Del Mar _ <br /> 2-40ml VOAs 8260E HCL Del Mar <br /> 11 'I 1-1 L Amber 8015 Dlese No Del Mar <br /> Other Notes <br />