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h tt EQUIVA )FELL MOIITOR�G DATA SKEET <br /> BTS # v��3�~'� Site <br /> Sampler- Date- <br /> Well I D . V4W Well Diameter 2 3 4 6 8 <br /> Total Well Depth iDepth to Water --- <br /> Deptll to Free Product Thickness of Free Product (feet) <br /> Referenced to PVC Grade D O. Meter (if req'd) YSI HACH <br /> Purge Method Sampling Method: arae <br /> Bailer Waters Disposabl Bailer <br /> Disposable ader Penstaltic Extraction Port <br /> lAiddleb g Extraction Pump Dedicated Tubing <br /> Electnc ubrnerstble Other Other- <br /> Well Dameter Multrnleer Well Diameter Multiplier <br /> l" 004 4 465 <br /> (Gals)Y z^ 016 6" 1 47 <br /> — GaN <br /> 1 Case Volume Specified Volumes Calculated Volume 3^ 0-37 Other radius=*0163 <br /> Ttsne Temp (°F) pH Cond Turbidity Gais Removed 05servattORO <br /> or_ 1 <br /> - - <br /> Did well dewater? Yes No Gallons actually evacuated <br /> Sampling Time Sampling Date- VO4 <br /> Sample I D Labo tory erlE Col bia Other <br /> Analyzed for STEX MTBE - Oth ' DCA/ I Z <br /> ES l D (1f apphcalll @ Tam upllcate I D (1f applicable) <br /> Analyzed for TP -G BTEX MTBE TPH-D Other <br /> mg <br /> D 0 (if req'd) Pre-purge /t_ Post-purge <br /> O R P ld req'd) Pre-purge m V i Past-purge 111v <br /> Bina a Tech S ef-,rel:ss, Ona. 16811 r:,% 95112 (408) 57 3-OSSs <br />