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WELL MONITORING DATA SHEET <br /> Project # _ G/ Client GU �d <br /> 000, <br /> Sampler Start Date <br /> a o <br /> Well I D 1f4W- Well Diameter 3 4 6 8 <br /> Total Well Depth /G�/'' Depth to Water T' KS <br /> Before After Before After <br /> Depth to Free Pi oduct Thickness of Free Product (feet) <br /> Referenced to Grade D O Meter (if req'd) YSI; HACH <br /> Pude Method Sampling Method Bailer <br /> Bailer Watena Disposable Bailer✓ <br /> Disposable Batlet✓ Peristaltic Extraction Port <br /> Middlebui o Extraction Pump Dedicated Tubmg <br /> r-lectiic Submeisible Othei Othei <br /> Well Diameter Multiniier Well Dtameiv multiplier <br /> t" 004 d" Q(S <br /> (Gals )X 3 Gals 21, a EG b' 1 47 <br /> 1 Case Volume Specified Volumes Cdlculated Volume 3" 037 Other radius'"0 163 <br /> Tine Temp (T) pH Cond Tui btdlty Gals Removed Observations <br /> rl• <br /> Did well dewater? Yes Gallons actually evacuated 3S7— <br /> Sampling <br /> S7—Sampling Time Sampling Date `a <br /> Sample I D Laboratoiy C �� <br /> Analyzed fol -G ST)✓X MTBF TPH-D Othei e 7CAf <br /> @ <br /> Equipment Blank I D Duplicate I D <br /> iiai:yL.Vcul 1Vr irn-G BiLn INl1DL 1Ptl-JJ VLIe! <br /> D O (if req'd) Pte-purge ing/L Post-purge <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 />