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EQUIVA WELL MONITORING DATA SHEET <br /> BTS #- ram-.�/ Situ► 9 /may <br /> Sampler- �¢5rG, Date <br /> Well I D • %57 Well Diameter 2 3 4 6 8 <br /> Total Well Depth Depth to Water f <br /> 7 Depth to Free Product: Thickness of Free Product (feet) <br /> Referenced to Grade DO Meter (if req'd) Ysl HACH <br /> Purge Method Sampling Method f+ ,% Bailer <br /> Bailer Waterra Disposable Bailer <br /> Disposable Bailer Peristaltic Extraction Port <br /> Middleburg Extraction Pump Dedicated Tubing <br /> Electnc Submersible Other Lb...l of 4, Other <br /> Well Diameter Multip1jer Well Diameter Multiplier <br /> 1" 004 4" 06S <br /> 2" 016 6" 147 <br /> (Gals)X = Gals 3" 037 Other radius2*0 163 <br /> 1 Case Volume Specified Volumes Calculated Volume <br /> Tune Temp CF) pH Cond Turbidity Gals Removed Observations <br /> /'D <br /> Did well dewater? Yes cf�-7 Gallons actually evacuated <br /> Sampling Time gTo Sampling Date �a�' 95 <br /> Sample I D : Cc Laboratory' e uoi Columbia Other <br /> Analyzed for TPH-G BTEX MTB TPH-D Other s1G <br /> @ <br /> EB I D. (if applicable), Time Duplicate I.D (1f applicable). <br /> Analyzed for TPx-G BTEx MTBE TPH-D other <br /> D O (if req'd): Pre-purge `°g�L Post-purge mg�L <br /> O R P. (if req'd) Pre-purge mV Post-purge MV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (408) 573-0555 0 <br />