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WELL MONITORING DATA SHEET <br /> Project #- D 1 0 1 1 1 -3 Client C 449 <br /> $ <br /> Sampler S.s", Start Date a L4 <br /> 1 "li --moi <br /> Well I D : R W_ f Well Diameter 2 3 4 g <br /> Total Well Depth _Zualfi I& Depth to Water !;=- <br /> Before- <br /> —Before- After• Before After <br /> Depth to Free Product. Thickness of Free Product (feet) <br /> Referenced to Jsve Grade DO Meter (if ieq'd) <br /> YS lcx <br /> Purge Method Sampling Method >frl,cr� <br /> Bailer Waterra Disposable Bailer <br /> Disposable Bailer Peristaltic Extraction Port ✓ <br /> Middleburg Extraction Pum ✓ <br /> P Dedicated Tubing <br /> le Other Other <br /> Well Diameter multi tier Well Diameter multiplier <br /> 1 004 4" 065 <br /> .(Gals)X -3 _ �..�{.( Gals 2" 016 6^ 1 47 <br /> 1 Case Volume S ecified Volumes Calculated Volume 3" fl 37 other radius2.0 163 <br /> Time Temp }°F PH Coad Turbid, Gals Removed Observations <br /> o <br /> :77 tpTw= <br /> Did well dewater? Yes fie- Gallons actually evacuated <br /> Sampling Time Sampling Date <br /> Sample ID _ Laboratory: <br /> ko r <br /> Analyzed for PH-G TE TBE TPH-D Other <br /> Equipment Blank I D @ Tune Duplicate I D <br /> .Analyzed for TPH-G BTEX MTBE rPH-D Other <br /> D O (if req'd) Pre-purge mglL Post-purge m <br /> :-nVORP (if req'd) Pre-purge mV Post-puLrge <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (408) 573-0555 <br />