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- <br /> EQUfVA WELL MONITORING DATA SHEET <br /> BTS # Z _ Site c�gct &% t 8i- <br /> • Sampler a- )" Date _ -2 _ a <br /> k <br /> Well I D Well Diameter 2 3 4 6 8 <br /> Total Well Depth Depth to Water c1 <br /> Depth to Free Product Thickness of Free Product (feet) <br /> Referenced to PVC Grade D O Meter (if req'd) YSI HACH <br /> Purge Method Sampling Method n,"ailer ✓ <br /> Bailer wat a Disposable Bailer <br /> Disposle Basler Pen taltic Extraction Port ✓ <br /> Middl urg Ex tion Pump Dedicated Tubing <br /> Elect <br /> n ubmersible Other Other <br /> 1. 004 4" 065 <br /> 2. 016 6" 1 47 <br /> (Gals)X 3 r Gals 3„ 037 Other radius'*0 163 <br /> 1 Case Volume Specified Volumes Calculated Volume <br /> Time Temp (°F) pH Cond Turbichty Gals Removed Observations <br /> • <br /> W = <br /> Did well dewater? Yes Gallons actually evacuated <br /> Sampling Time g p _ offi �-Sampling Date — <br /> Sample I D 2.!IS2 Cr Laboratory equoia Columbia Other <br /> Analyzed for 'PH BrE FPH-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 /> D O (if req'd) Pre-purge mg'L Post-purge mg/L <br /> O R.P (if req'd) Pre-purge mV Post-purge my <br /> ! Blaine Tech Services, Inc. 1680 Rogers Amer, Sen Jose, CA 95112 (408) 573-0555 <br />