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EQUi''VA WELL MONITORING DATA SHEET <br /> BTS # Z Szte c18e► ck6 l tL- <br /> Sampler a.. M Date. w _ Z- a ( 0. <br /> Well I D : M .7 Well Diameter QS 3 4 6 8 <br /> Total Well Depth , �� Depth to Water- (., 7 <br /> Depth to Free Product T111c- ess of Free Product-(feet} <br /> Referenced to PVC Grade ID O Meter (if req'd) YSz HACH <br /> Purge Method Sampling Method Bailer ✓ <br /> Bailer Waterra Disposable Bailer <br /> Disposable Bailer Peristaltic Extraction Port <br /> Middleburg✓ Extraction Pump Dedicated Tubing <br /> Electnc Submersible Other Other <br /> 3Pl1 Diameter Multiplier Well Diameter Multinlmt <br /> 1" 004 4" 065 <br /> f / 2" 016 6" 147 <br /> L (Gals)X = C! Gals 3„ 037 Other radtus2 0 163 <br /> 1 Case Volume Specified Volumes Calculated Volume <br /> Time Temp (°F) pH Cond Turbidity Gals Removed Observations <br /> /Z ��.0 0 200 ?• Z <br /> .�z coo y `� <br /> . 51 TS JO >Zvo Ge• 4 <br /> Did well dewater? Yes Gallons actually evacuated <br /> Sampling Time Sampling Date: <br /> Sample I D Laboratory equota Columbia Other <br /> Analyzed for: �P'H� BTE �I TPH-D 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) Pre-purge m&/1r Post-purge mg/L <br /> O R.P. (if req'd) Pre-purge mV Post-purge mV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (408) 573-05J0 <br />