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i <br /> I <br /> WELL MONITORING DATA SHEET <br /> I <br /> Protect #' X2 65_,44:2 <br /> Client I.�+ 4_r� hr 5,,+��.��v <br /> npler. Start Date �P � <br /> Well I D L&- 5 Well Dtameter 3 4 6 S <br /> Total Well Depth 55 Depth to Waterb 5t <br /> Before After- Before After <br /> Depth to Free Product Thickness of Free Product (feet) <br /> Referenced to Giade DO Meter (If rev'd) vSI HACH <br /> Purge Method SampIing Method Bailer <br /> Batter Waterra able Bailer <br /> Des sabl atler Peristaltic Extraction Port <br /> Middleburg Extraction Pump Dedicated Tubing <br /> Electric Submersible Other Other <br /> Well Diameter Multiplier Well Diameter Multrllter <br /> 1 r f" 004 4" 065 <br /> (Gals)X = 39 2" 0 16 6" 147 <br /> 3" 037 Other radius'*0 163 <br /> Gals <br /> Temp Conductivity <br /> Time (°F or°C) pH (mS or µS) Tuibidity (NTU) Gals Removed Observations <br /> -73 (o -7.f <br /> ! <br /> Did well dewater? Yes Gallons actually evacuated <br /> Sampling Time Sampling Date <br /> Sample i D WW , Laboratory' am <br /> Analvzed for x-G ATPH-D Other i-o 6 02J $ <br /> Equipment Blank I D Tnne Duplicate I D <br /> alyzed for TPH-G BTCX MTBE TPH-D Other <br /> n,g me <br /> DO (if req'd) Pre-purge t Post-purge �t <br /> ORP (if req'd) Pie-purge mV Post-purge rnV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (408) 573-0555 <br />