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WELL MONITORING DATA SHEET <br /> P- ect # v65- Client <br /> Sampler Start Date -�) - � . <br /> Well I D. LAk) Well Diameter ('1-) 3 4 6 S <br /> Total Well Depth t3,&q;� Depth to Water. '7 SS <br /> Before After: Before After <br /> Depth to Free Product Thickness of Free Product (feet) <br /> Referenced to. Grade DO Meter (if req'd) vs] HACH <br /> Purge Method Sampling Method Bailer <br /> Bailer Waters able Bailer <br /> usable B Peristaltic Extraction Port <br /> Middleburg Extraction Pump Dedicated Tubing <br /> Electric Submersible Other Othei <br /> Wcll Dtametcr Multiplier Well Diameter Multiplier <br /> I" 004 4" 065 <br /> q <br /> {Gals)X °2- 2" 016 6" 147 <br /> �1 = <br /> 3" 037 Other raduts2*0 163 <br /> Gals <br /> Ternp Conductivity <br /> Time ("F or°C) pH (mS or µS) Turbidity (NTU) Gals Removed Observations <br /> -?-Irt7 2, &0 1320 <br /> r/ <br /> T?�. 0.61 /3 & 5 7�0 <br /> Did well dewater? Yes Gallons actually evacuated 2, <br /> Sampling Time !� Sampling Date <br /> Sample I D WV) ,-7 Laboratory- <br /> :E& Laa <br /> Analyzed for <br /> `H-G TB TPH-D Otlier a 524V $ �a 2 s A <br /> Equipment Blank I D Time Duplicate I.D <br /> lyzed for TPH-G BTEX MTBE TPH-D Othei <br /> ma� <br /> D O (if req'd) Pre-purge 111g/1 <br /> Post-purge i <br /> ORP (if req'd) Pre-purge n1V Post-purge iriV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, GA 95112 (408) 573-0555 <br />