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RP 'AT.�;T MO.NwEril"OK�VU- DALTIL A'S H E� <br /> Project # o Z, 0> 16 t -1 Station # ( [ Y <br /> Sampler K 90 1 A PO/ADate <br /> Well I D. M Lv Well Diameter ? 3 4 6 8 <br /> Total Well Depth $. 00 Depth to Water: <br /> Depth to Free Product <br /> P Thickness of Free Product (feet) <br /> Referenced to IV Grade D 4 Meter (ifxeq'd) Ysl =HACIH4 <br /> Weli_Diameter multEolicr WeliDlameter ttltJtrier <br /> 1" <br /> 004 4" 0 65 <br /> 2" 016 6" 1 47 <br /> 3" 037 Othcr radms2*0 163 <br /> Puree Method Bailer Sampling Method Lkailer <br /> Disposable Bailer Disposable Bailer <br /> Middlebury Extraction Port <br /> ..Zlectnc Submersible Other <br /> Ektractlon Pump <br /> Other <br /> T .rc X 3 _ Z !• Gals <br /> I Case Volume(Gals ) Specified Volumes Calcu atsd Volume <br /> Time Temp (°F) pH Cond Gals Removed Observations <br /> 'F.zel 63, �- Z_ 11 � � 10- 0 <br /> 7. Z it rf 2-0.0 <br /> 7• 2 11811 30. 6 <br /> pray= . Gl <br /> Did well dewater? Yes �o Gallons actually evacuated 3 0. a <br /> Sampling Time Sampling Date 1 to 02 <br /> Sample I D (Blind) M U'-- Laboratory Pac other <br /> Anal zed for TPH-G 7BTE)yMTB TPH-D Other <br /> DO (if req'd) Pre-Purge mg/LPost-purge Rio <br /> ORP (if req'd)• Pre- urge P g mV Post-purge MV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (406) 573-0555 <br />