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S111ELL WELL MONITORING DATA SHEET <br /> BTS # Site: Ra <br /> Sampler: Date: <br /> d o <br /> Well I D : � - Well Diameter: 2 36 g <br /> Total Well Depth (TD). Depth to Water (DTW) <br /> Depth to Free Product: Thickness of Free Product (feet) <br /> Referenced to C Grade D O. Meter (if req'd). YS1 HACH <br /> DTW with 80% Recharge [(height of Water Column x 0 20) + DTW]; <br /> Purge Method Bailer Waterra Sampling Method ABailer <br /> Disposable Batler Peristaltic Disposable Bailer <br /> Positive Air Displacement Extraction Pump Extraction Part <br /> -Alectric Submersible other Dedicated Tubing <br /> Other <br /> WellDher WeIlDsameler Multdulier <br /> I. 004 4" 065 <br /> - (Gals)x _Z___ Gals 2- 016 6" - 147 <br /> 1 Case Volume S eci#ied Volumes Calculated Volume 3- 037 other radius'•0 163 <br /> Cond Turbidity <br /> Time Temp (°F) pH (ms o (NTUs) Gals Removed Observations <br /> NOS 73 f 7.1 /�T.S -3 . e <br /> Did well dewatel? Yes Gallons actually evacuated- e.1z1,3 <br /> Sampling Date o Sampling Time. ao Depth to Water <br /> Sample I D �,��- Laboratory: Other <br /> Analyzed for x-c Ex TPl�-D Oxygenates (5) Other <br /> EB I.D (if applicable) " Tmic Duplicate .I D (if applicable): <br /> Analyzed for TPH-G BTEX MTBE TPH-D Oxygenates (5) Other <br /> DO (if req'd) Pre-purge- Ria/t Post-purge a/L <br /> ORP (1f req'd) Pre-purge mnV Post-purge • <br /> 7V <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (800) 545-7558 <br />