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WELL MONITORING DATA SHEET <br /> P]Ole # D� d ,7 Client 1 <br /> Samplei Start Date <br /> Well I D Well Diameter 2 3 (Z) 6 S <br /> Total Well Depth /G Depth to Wates e5l <br /> Before After Before After <br /> Depth to Fiee Product Thickness of Free Pioduct (feet) <br /> Referenced to Grade DO Meter (if req`d) Ysl HACH <br /> Pur-e Method Sampling Method Bailer <br /> Ballet Wateita Disposable Bailer f <br /> Disposable Bailer Pei istaltic Extiaction Port <br /> Mtddlebur_ / EYttactron Pump Dedicated Tubing <br /> Electi is Submei sible✓ Othei Other <br /> Well Diameter Multiplier Well Dinnieter Mu4miter <br /> �f t" 004 4' 063 <br /> ! (Gals)X — S Gals 2" 0 16 6" 1 47 <br /> 1 Case Volume Specified Volumes Calculated Volume 3" 037 Ocher ritdnis'*0 163 <br /> Time Temp (T) pt-t Coned Turbidity Gals Removed Observatioias <br /> r i <br /> A=r ".411141Z <br /> '0 41,74 /moi e f a c 74 <br /> Did well dewate17 Yes N Gallons actually evacuated <br /> Sampling Time /5rp Sampling Date d /• � <br /> Sample I D Laboratory <br /> Analyzed for rH-G BTEX NITB TPH-D Othe> ,zFl o 7C.a <br /> G <br /> Equipment Blank I D T„„r Duplicate I D <br /> Analyzed for TPH-G BTEX lviTBE TPH-D Other <br /> DO (if r eq'd) Pie-purge mg/L Post-purge nig/i <br /> ORP (1f teq'd) Pre-purge MV Post-purge tnV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (408) 573-0555 <br />