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EQUIVA WELL MONITORING DATA SHEET <br /> BTS #: Site: <br /> Sampler: Date: �...o� <br /> Well I.D.: Well Diameter: (T� 3 4 G 8 <br /> Total.Well Depth: Depth to Water: <br /> =Depffta Free Product. TliiclalCs- of FreeProduet-(feet): <br /> Referenced to: Cjyarade D.O. Meter (if req`d): YSI HACH <br /> Purge Method: Sampling Method: Bailer✓, <br /> Bailer Waters Disposable Bailer <br /> Disposable Bailer Peristaltic Extraction Port <br /> Middleburg Extraction Punip Dedicated Tubing <br /> Electric Submersible Other Other: <br /> M11 Diameter Multiplier Well r1mmeter „(i!Ultipher <br /> r� / 1" 004 4" 065 <br /> X 4—42 Gals. 7" 0116 611 1.47 <br /> 1 Case Volume Specified Volumes Calculatml Volume 3" 0.37 Other radius'*0.163 <br /> Time Temp (°F) pH Cond. Turbidity Gals, Removed Observations <br /> Wzru <br /> �r . r7.3 !vz �r <br /> Did well dewater? Yes (ID Gallons actually evacuated: <br /> Sampling Time: ra Sampling Date: <br /> Sample I.D.: Laboratory: Sequoia Columbia Other. <br /> Analyzed for: H- TE TB P TPH D Other:xA <br /> EB I.D. (if applicable): @ Thm Duplicate I.D. (if applicable): <br /> Analyzed for: TPH-v BTEX MTBE TPHD Other: <br /> D.O. (if req'd): Pre-purge: MgVL <br /> Post-purge: <br /> O.R.P. (if req'd): Pre-purge: mV Post-purge: <br /> Maine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (408) 573-0555 <br />