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WELL MONITORING DATA SHEET <br /> Project # _�� Client Iv ti g <br /> Sampler a � Start Date <br /> Well I D - _ Well Diameter 2 3 6 8 <br /> Total Well Depth 3�u Depth to Water <br /> Before After Before After <br /> Depth to Free Product Thickness of Free Product (feet) <br /> Referenced to PVC Grade DO Meter (1f req'd). YSI 1-HCH <br /> Purge Method Sampling Method Bailer <br /> Bailer Waterra Disposable Bailer <br /> Disposable Bailer Peristaltic Extraction Port <br /> Middleburg Extraction Pump Dedicated Tubmg <br /> ✓Electric Submersible Other Other <br /> Well Diameter Multivller Well Diameter Multrvlter <br /> 1" <br /> 004 4' 065 <br /> (Gals)X = 32-+ Gals 2" 016 6" 1 47 <br /> 1 Case Volume Specified Volumes Calculated Volume 3" 037 Other radLus2•0 163 <br /> Time Temp (°F) pH Cond Turbidity Gals Removed Observations <br /> uzz% 7 <br /> ajDid well dewater? Yes No Gallons actually evacuated <br /> Sampling Time # Sampling Date 1 -11-01 <br /> Sample I DLaboratory • <br /> Analyzed for. PH-G BTE MTB TPH-D Other <br /> Equipment Blank I D @ Tune Duplicate I D <br /> Analyzed for TPH-G BTEX MTBE TPH-D Other <br /> DO (1f req'd)- Pre-purge mg/L Post-purge mg/ <br /> L <br /> ORP (if req'd) Pre-pulge mV Post-purge mV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (AnR► 1;7a_nr_=c <br />