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EQUT. WELL MONITORING DATA SHEET <br /> • BTS ;#: ' �1Site: <br /> ! S <br /> Sampler: Date: 5- -0 G <br /> Well I.D.: Well Diameter: 2 3 C4 ) 6 S <br /> Total Well Depth: , (_0 3 Depth to Water: <br /> Depth to Free Product: Thickness of Free Product (feet): <br /> Referenced to: T ` Grade D.O. Meter (if req'd): �57_ HACH <br /> Purge Method: Sampling Method: Baile <br /> ~ Bailer Waterra 'Disposable Bailer <br /> Disposable Bailer Peristaltic Extraction Port <br /> Middleburg Extraction Pump Dedicated Tubing <br /> Electric Submersibles Other Other: <br /> WrIl Diameter Multi trier iamtmr MultiDliCr <br /> 1" 0.04 4" 0.65 <br /> 4 _ " I Gals. 2" 0.16 6" 1-47 <br /> (Gals-) X 3" 0.37 ocher radiust*0.163 <br /> 1 Case Volume Specified Volumes Calculated Volume <br /> Tame Temp (OF) pH Cond. Turbidity Gals. Removed Observations <br /> is <br /> Did well dewater7 Yes Gallons actually evacuated: <br /> Sampli a Time: Sampling Date: eF-7-30- <f,CD <br /> In <br /> Sample I.D.: Laboratory: e uor Columbia Other <br /> Analyzed for: H-G BTEX TBE TPH-D Other: <br /> FLt! <br /> EB I.D. (if applicable): Tam Duplicate I.D. (if applicable): <br /> Anafyzed for: TPH-G B-I-EX MTBE TPH-D Other: <br /> -Pure: cng/L fSt-PUrg4 C) �'g/l_ <br /> y <br /> Off-P. (if req'd): Pre-purge: MV1 Past-purge: my <br /> Maine Tech S ery eves, One. 158M Rauers Aire.., San Jose, CA 95112 (408) 573-0555 <br />