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WELL MONITORING DATA SHEET <br /> Pi oJect # d / _ Client • <br /> 0 <br /> 1npler" 3.A? L Start Date <br /> -'le, -d/ <br /> Well I D AW_j Well Diameter 2 3 ® 6 8 <br /> Total Well Depth lG ,�-� Depth to Water <br /> Before After Before <br /> After <br /> Depth to Free Product Tluckness of Free Pioduct (feet) <br /> Referenced to (!2> Grade D O Meter (if req'd) YSl HACH <br /> Ptiige Method Sampling Method Bailer <br /> Bailei Wateira Disposable Bailer/ <br /> Disposable Bailer Peristaltic Extraction Port <br /> i <br /> Middteburg Extraction Primp Dedicated Tubing <br /> Electi is Submersible ✓ Other Other <br /> Well Diameter Multiplier Well Diameter Multiplier <br /> -/� i" 004 4" 065 <br /> V (Gals )X Gals 2" 0 16 6' 147 <br /> 1 Case Volume Specified Volumes Calculated Volume 3" 037 other radiusZ*4163 <br /> ,miJline Temp (T) pH Coad Tuibtdity Gals Removed Obser-,ations <br /> cm 7 Z/11 <br /> S" . S /go >z iy <br /> � n. <br /> Dtd well dewater9 Yes Gallons actually evacuated <br /> Sampling Tin-re /v5 Sampling Date <br /> Sample I D Labor atony < G <br /> Analyzed for PH- BTEX MTB TPH-D Other 1- f Z -r4A <br /> Equipment Blank I D Ttine Duplicate I D <br /> Analyzed for TPH-G BTEX MTBE TPH-D Other <br /> Do Ofreq'd) Pte-purge Post-purge r»g/L <br />(SRP (if req'd) Pte-ptuge mV Post-purge rnV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, GA 95112 (408) 573-0555 <br />