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r <br /> WELL MONITORING DATA SHEET <br /> Piolect # _ G Client <br /> Sampler Start Date la <br /> Well I D �L f�,cJ— �' Well Diameter 3 4 6 S <br /> Total Well Depth Depth to Water /p, 0,7 <br /> Before After Befoi e After <br /> Depth to Flee Product Thickness of Flee Product (feet) <br /> Referenced to <L�:> Gade D 4 Meter (ifreq'd) YSr TACH <br /> Pu1 ]Method Sampling Method Bader <br /> Bailer / Waterra Disposable Ba11e1 ✓ <br /> Disposable Bai lel ✓ Pet tstaltic Eeti action Port <br /> Nriddlebul g E%traction Pump Dedicated Tubing <br /> Electric Submersible Other Other <br /> Well Diameter multiplier Well Diameler Multi tier <br /> 11. 0 04 4" 06, <br /> t2* (Gals)X Gals 2" 0 16 5" 1 47 <br /> 1 Case Volume Specified Volumes Cdlculated Volume 3„ 037 other rfldn,s'"0 153 <br /> Time Temp (°F) pH Cond Tuibid>ty Gals Reinoved Observations <br /> f/Cr� !�G C '4 <br /> Did well dewatei? Yes Gallons actually evacuated s— <br /> Sampling Time oda Sampling Date eeol°7� <br /> Sample I D ,y�� Laboratory <br /> Analyzed for PH-G BTEX MTB TPH-D Otllei <br /> G <br /> Equipment Blardc I D TDuplicate I D <br /> t Analyzed JVr TPH-G B T EX 101 BE T P-H-Eu OEhel <br /> iDO (if req'd) Pre-purge mg/L Post-purge mg/L <br /> ORP (if req'd) Pre-purge mV Post-purge rnV <br /> . <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (408) 573-0555 <br />