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EQUIVA WELL MONITORING DATA SHEET <br /> TS Site <br /> # � �. -,i � C� � 1 -} %- <br /> C' <br /> Sampler 15(' <br /> � V Date y <br /> Well I D5 - 5 Well Diameter C2i 3 4 6 S <br /> Total Well Depth _ - Depth Jo W-atei: 1 _ <br /> Depth to Free Product Thickness of Free Product (feet) <br /> Referenced to PVC Grade D O Metei (if req'd) Ysl HACH <br /> PmgeMethod Sampling Method Bailee <br /> Bailer _ Waterra disposable BaileT.' <br /> QDispo�able Bailer Peristaltic Extraction Port <br /> Middleburg Extraction Pump Dedicated Tubing <br /> Electric Submersible Other Other <br /> Well Drame er Multi icer Well Diameter Multiplier <br /> rt <br /> V. 004 4" 065 <br /> )X J = Gals z. 0 16 6" 1 47 <br /> 1 Case Volume S ecified Volumes Calculated Volume 37 Other radru52*0 163 <br /> Time Temp CF) pH Cond Turbidity Gals Removed Observations <br /> 4 1 -7 -3 -� rI ��JCr I <br /> 7 l $ 1 Zt, 3 -5' <br /> Did Well dewater? Yes o Gallons actually evacuated 11 -5 <br /> Sampling Time. 1 S � t1_5 Sampling Date tvZ ,C.t - c,() <br /> Sample I D. S - 5 Laboi story Sequoia Columbia Other <br /> Analyzed forPH G , BTEx ` TBE-" PH-n Other <br /> EB I D (if applicable) @ Time Duplicate I D (if applicable) <br /> Analyzed for TPH-G BTEX MTBE TPH-D Other <br /> DO (if req'd) Pie-purge mg/L Post-purge mg/ <br /> 1 <br /> OR P (if req'd) Pre-purge MV Post-purge I <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San ,lose, GA 95112 (408) 573_0555 <br />