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WELL MONITORING DATA SHEET <br /> Client VAJr ,17 21�11��.454- <br /> Sampler Start Date :�9- O�5'0;r, <br /> Well I D k11)- Lo Well Diameter (:Z> 3 4 6 8 <br /> Total Well Depthxl.l Depth to Water 0A( <br /> Before After Before. After <br /> Depth to Free Product Thicluiess of Free Product (feet) <br /> Referenced to Grade D.O Meter (if req'd) YS] HACH <br /> Purge Metl}od Sampling Method Bader <br /> Bailer Waters able Bail_ <br /> Qj osable Bai r Peristaltic Extraction Port <br /> Middleburg Extraction Pump Dedicated Tubing <br /> Electric Submersible Other Other <br /> Well Diameter Mule locr Well Diameter Muffs Ler <br /> Arta 2 l" 004 4" 065 <br /> '3 (Gals )X u = J Z" 016 6" 1 47 <br /> 3" 037 Other radius`*0 163 <br /> Gals <br /> Temp Conductivity <br /> Time (°F or°C) pH (inS or µS) Turbidity (NTU) Gals Removed Observations <br /> Ivy -73 . 2- 150��3 -2 Imp 3 r ► <br /> Did well dewater? Yes Gallons actually evacuated: <br /> Sampling Time Sampling Date _ <br /> Sample I D Odd - 10 Laboratory- <br /> Analyzed for- �-G TBE TPH-D other e � 6j -0 $ 1 o 2- CA <br /> T„n� <br /> Equipment Blank LD Duplicate I D <br /> lyzed for TPH-G BTEX MTBE TPH-D Other <br /> D O (if req'd) Pre-purge Mg/ Post-purge mLI/L <br /> ORP (if req'd) Pre-purge mV Post-purge Inv <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (408) 573-0555 <br />