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WELL 1VI01°�+11TORiNG DATA SHEET <br /> Pzojeet # Client <br /> o <br /> mplei a. K= Start Date <br /> `bl <br /> Well I D � � WeII Diameter (Z� 3 4 6 S <br /> l otal Well Depth Depth to Water 11111111 <br /> 3 <br /> Before . <br /> After Before After <br /> Depth to Fiee Product Thickness of Free Pioduct (feet) <br /> Referenced to V Grads D O Meter (if req'd) Ysi HACH <br /> Pwge Method Sampling Method BatIet <br /> Bailer Wateira Disposable Bailer V11111 <br /> Disposable Ballet Peristaltic Extraction Pott <br /> Middlebuig Extraction Pump Dedicated Tubing <br /> Electric Submersible Other Other <br /> Well Diameter Ma111leer Well Diameter Multiplier <br /> 1" 004 4" 065 <br /> �• (Gals )X _ Z.13 Gals 2" 016 6" 1 47 <br /> 1 Case Volume Specified Volumes Calculated Volume 3 037 Other radius'*0 163 <br /> zine Temp (°F) pH Cond Turbidity Gals Removed Obselvattons <br /> 1l: 733 6. � Ig"� 3 X2 0o Z <br /> z > 7?• 76 <br /> Did well dewater? Yes No Gallons actually evacuated <br /> Sampling Time 114Sampling Date, <br /> �O <br /> Sample I D w Labozatozy IMP <br /> r <br /> Analyzed fol PH-G BTEX MTBE TPH-D Other 7CA <br /> Equipment Blank I D @ Time Duplicate I D <br /> Analyzed for TPH-G BIEX MTBE TPH-D Other <br /> 1-0 (if 1 eq'd) Pie- "'9 rt,g <br /> purge /1r Post-pu>,ge <br /> ORP (if teq'd) Pre-purge MV Post-purge mV <br /> Blaine Tech Services, Inc, 1680 Rogers Ave,, San Jose, CA 95112 (408) 573-0555 <br />