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EQUtVA WELL MONITORING DATA SHEET <br /> BTS # Z 11: 0111' 11Site CAsC% � <br /> Sampler Date <br /> Well I D Well Diameter: 2 3 ® 6 S <br /> Total Well Depth � � Depth to Water , 2� <br /> Depth to Free Product Thickness of Free Product (feet) <br /> Referenced to 1>vc Grade D O Meter (tf req'd) Ys1 HACH <br /> Purge Method <br /> 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 /> " <br /> 004 4" 065 <br /> o 16 6' t 47 <br /> y � (Gals)X = e 6t ' J Gals 3„ 037 Other radius"0 163 <br /> 1 Case Volume S ecifed Volumes Calculated Volume <br /> Time Temp (°F) pH Cond Turbidity Gals Removed Observations <br /> r�cjS5 &L. 7.qt 1 ) % so -� <br /> t9-7 7a <br /> w z <br /> 100-7 <br /> Did well dewater? Yes o Gallons actually evacuated 1 Y7 <br /> Sampling Time t0 Sampling Date _fl <br /> Sample I D Laboratory equoia Columbia Other <br /> Analyzed for Px- BTE �1 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 /> mg' <br /> D 0 (if req'd) Pre-purge Mg/L Post-purge L <br /> OR P (if req'd) Pre-purge mV Post-purge mV <br /> 0 Blaine Teck Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (408) 573-0555 <br />