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WELL MONITORING DATA SHEET <br /> Client: f 4 <br /> Sampler- ` � Start Date: QD <br /> Well LD3 Well Diameter: 2 3 6 8 <br /> Total Well Depth- Depth to Water <br /> Before- After- Before- `7 SS After- <br /> Depth to Free Product. Thickness of Free Product (feet) <br /> Referenced to Pvc Grade D G Meter (if req`d)- YS1 HACH <br /> Purge Method Bailer Sampling Method Basler <br /> Disposable Bailer �Sposable Bailer <br /> Middleburg EYtractson Port <br /> _f4ctnc Submersible Other <br /> Extraction Pump <br /> Other Well Diameter Multi Iter Well Diameter Muiit leer <br /> 2" 016 5" 102 <br /> 3" 037 6" 1 47 <br /> L (Gals)X — a< Gals a" 4 65 tithe- radius'•0 163 <br /> ase Volume SoeciBed Volumes Calculated Volume <br /> Time Temp CF) pH Cond Turbidity Gals Removed Observations <br /> 7 <br /> �l 7 / <br /> X77 76 <br /> 4 <br /> 4 <br /> Did well dewatex? Yes No Gallons actually evacuated 17 <br /> Sampling Time - Sampling- Date. 11 G 71,rY1 <br /> Sample I D . Laboratory M G- <br /> Analyzed for TPH-G _ XE H-D Other 1 e 3 <br /> Equipment Blank I D Duplicate I D <br /> nalVzed for TPH-G BTEX MTBE TPH-D Other <br /> M21 mg' <br /> D O (if read) Pre-purge s Post-purge <br /> CC <br /> IYfV <br /> ORP (if i ea d) Pre-purge i mV Post-purge <br />