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WELL MONITORING DATA SHEET <br /> Project # ell g2iii _T- Client <br /> Sampler n d Start Date <br /> Ll 1 <br /> Well I D Well Diameter (7) 3 4 <br /> S <br /> Total Well Depth- IN Depth to Water <br /> Before After. Before- <br /> After <br /> Depth to Free Product- Thickness of Free Product (feet) <br /> Referenced to- PVC Grade D O Meter (if req'd) YSI xAcx <br /> Purge Method Sampling Method- Bailer V"' <br /> Bailer Waterra <br /> Disposable Bailer Disposable Bailer <br /> p Peristaltic <br /> Extraction Port <br /> Middleburg Extraction Pump <br /> Dedicated Tubing <br /> Electric Submersible <br /> Other Other <br /> Well Diameter MUM her Well D�arneter Mulh her <br /> // 1. 004 4" 065 <br /> (Gals)X _ (� 3 Gals Z" 0 I6 6" <br /> 1 Case Vohime 147 <br /> S ecified Volumes Calculated Volume 3� 37 other radius Z*0 163 <br /> Time Temp (°F) pH Cond Turbidity Gals Removed Observations <br /> G'? Z &. 9 34 ze7/ }Aim <br /> --T (�7 c' �•s �4 �Z 7 z� �-3 <br /> /,320 <br /> Did well dewater? Yes No Gallons actually evacuated. <br /> �- <br /> Sampling Time - yZS Sampling Date <br /> Sample I D Laboratory <br /> Analyzed for. PH-G BTE MTB TPH-D Other <br /> Equipment Blank I D - @i"unc Duplicate I D <br /> Analyzed for TPH-G BTEX MTBE TPH-D Other <br /> D O (>f req'd) Pre-purge mg/L Post-purge mg/L <br /> ORP (if req'd). Pre-purge mV Post-purge mV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (408) 573-0555 <br />