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WELL MONITORING DATA SHEET <br /> Pi oject # ,�G Client <br /> Sampler / Start Date Zd p>va <br /> Well I Dom/- c� Well Diameter � 3 4 { g <br /> Total Well Depth Depth to Water 199� r,/ <br /> Befoi e After Before After <br /> Depth to Flee Pioduct Thickness of Free Product (feet) <br /> Referenced to Pv Grade D O Meter (if req'd) Ysl HACH <br /> Purge Method Sampling Method Bailer / <br /> Bailer WateiTa Disposable Bailer✓ <br /> Disposable Bailei Peristaltic Extraction Port <br /> Middlebuig E�tractton Putnp Dedicated Tubing <br /> Electi tc Submersible Othet Other <br /> Well Diameter Mllltl Icer Well Dcan,eter Multe Slier <br /> �y 1" 0 04 4" 065 <br /> �. 7 (Gals )X — �• r/ Gals z" 0 16 6" 1 47 <br /> 31, <br /> 1 Case Volume Specified Volumes Cdlculated Volume 037 other radius''*0 163 <br /> rime Temp ("F) pH Cond Tuibidtty Gals Removed Observations <br /> I <br /> ? <br /> Pz <br /> Did well dewater? Yes Gallons actually evacuated 3 <br /> Sampling Time 1115 Sainpling Date <br /> Sample I D AVW —C/ Laboratory Cc <br /> Analyzed for PH-G BTEX MTBE TPH-D Other <br /> Equipment Blank I D @ Time Duplicate I D <br /> rAiyz�d fir T ii i-u ii in N.L T"E T r H-i, Otiier <br /> DO (if ieq'd) Pre-purge mglL Post-purge n1g/L <br /> ORP (if req'd) Pre-purge mV Post-purge mV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (408) 573-0555 <br />