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EQUiVA WELL MONITORING DATA SHEET <br /> BTS Site c1gc.% ek 6 1 SL <br /> Sampler- d.. M Date u — <br /> Well I D Well Diameter 2 3 6 8 <br /> Total Well Depth *eldl Depth to Water l <br /> Depth to Free Product Thickness of Free Product (feet) <br /> Grade D O Meter (if req'd) YSz HACH <br /> Referenced to -3 <br /> Purge Method Sampling Method Bailer ✓ <br /> Bailer Waterra Disposable Bailer <br /> Disposable Bailer peristaltic Extraction Port <br /> Middleburg Extraction Pump Dedicated Tubing <br /> Electric Submersible/ Other Other <br /> 1. 0 04 4" 065 <br /> C/ z" 016 6" 147 <br /> �7 (Gals)X _ ✓ / Gals 3" 037 Other radlusZ"0 163 <br /> 1 Case volume specified Volumes Calculated Volume <br /> Time Temp (°F) pH Cond Turbidity Gals Removed Observations <br /> `legs 14noS ?�®� <br /> ___L_ <br /> Did well dew =YeNo Gallons actually evacuated g L, <br /> Sampling Time 2 59, Sampling Date — _o <br /> Sample I D Iv�w_tZ Laboratory equoia Columbia Other <br /> Analyzed for 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 mg'L Post-purge Mg/L <br /> O R P (if req'd)- Pre-purge mV Post-purge mV <br /> Blaine Tech Services, Irate 1680 Rogers Ave,, San Jose, CA 95112 (408) 573-0555 <br />