Laserfiche WebLink
WELL MONITORING DATA SHEET <br /> Project#. p i o I 1 + --3 I Client: $ <br /> Sampler: �- � „ Start Date• <br /> Well I.D.: Well Diameter: 2 3 4 6 S <br /> Total Well Depth: Depth to Water: <br /> Before: After: Before: After: — <br /> Depth to Free Product- Thickness of Free Product (feet)- <br /> Referenced to: Pvc Grade ID O. Meter (if req'd): YSr HACH <br /> Purge Method: Sampling Method Bailer ✓ <br /> Bailer Wate Disposable Bailer <br /> Dtspo le Basler Pe c Extraction Port <br /> Mid eburg Extra on Pump Dedicated Tubing <br /> Electric Submersible Oth Other <br /> Well Diameter,_ Multiplier WellPiameter Mult_ iter <br /> 1. 004 4. 0 65 <br /> (Gals)X 3 Gals 2" 016 6" 147 <br /> 1 Case Volume Specified VolumesCalculated Volume 3' 037 Other radjus2'0163 <br /> Time Temp (°F) pH Cond Turbidity Gals Removed Observations <br /> Did well dewater? Yes No Gallons actually evacuated• -- <br /> Sampling Time: Sampling Date: _o <br /> Sample I.D.: 'L Laboratory- <br /> Analyzed for. x-G <[a) QHj> TPH-D Other: cs t6a <br /> Equipment Blank I D : @ rMe Duplicate I D.: <br /> Analyzed for- TPH-G BTEX MnE TPH-D Other. <br /> DO (if req'd): Pre-purge mg/L Post-purge m IL <br /> ORP (if req'd): Pre-purge mV Post-Purge rn <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose„ CA 95112 (408) 573-0555 <br />