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f <br /> ARE <br /> CO / BP WELL MONITORING DATA SKEET <br /> BTS # o? �3 Station # LjLt <br /> Sampler L Date. 1 3(0 <br /> Well I D. tt�Lj _ 1 D Well Diameter P) 3 4 & 8 <br /> Total Well Depth Depth to Water <br /> Depth to Free Product Thickness of F>ee Product (feet) <br /> Referenced to r44t Grade D O. Meter (if req'd) I= i>ACH <br /> WWII Dmitn,L" Mee111111 rr 3 all Q, a= <br /> I" 004 4" 065 p <br /> 2" 016 6" 1 47 so°lo�ad.00 <br /> 3" 037 O[hLr ndtus'"0 163 <br /> Purge Method Bailer Sampling Method Bailer <br /> Dibposable Bailer kDisposable Bailer <br /> Qc Posibve Air Displacement Extraction Port <br /> Electnc Submersible Other <br /> Extraction Pump <br /> Otliei <br /> Tole of Screen If well is listed as a no-purge, confirm that water Ievel is below the top <br /> of screen Otherwise, the well must be purged <br /> �- - --3— — — —1 <br /> -5 {0 Gals <br /> 1 Case Volume(Gaels) Specified Volumes Calculated Volume <br /> ConduCtivlt3/ <br /> Time Temp (°F) pH (mS or ftS) Gals Removed Observations <br /> Cf IT <br /> � 1 `,3 <br /> Dad well dewatel 9 Yes Gallons actually evacuated (o <br /> Sampling Time,__ f,�, Sampling Date 1,;t 3103 <br /> Sample LD • MQ -I I ® Laboratory Pace s Otter <br /> Analyzed for TPH-G BTEY MTBE TPH-D Other g ee- Ca <br /> DO (if Zeq'd). Pte-puzge ''/� tie 3 ins/L <br /> . OR P (if req'd) Pte-purge MV Post-purge my <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (408) 573-0555 <br />