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WELL MONITORING DATA SHEET <br /> roject # 0�l v I�� • D 1 Client Ute' F . 1�,•- <br /> Sampler rStart Date <br /> Well I D pt w- S Well Diameter 2 3 4 b S <br /> Total Well Depth Depth to Water <br /> Before After Before After <br /> Depth to Free Product Thickness of Free Product (feet) <br /> Referenced to PVC Grade DO Meter (if req'd) YS] HACH <br /> Purge Method Samplmg Method Bailer <br /> Bailer Waterra Disposable Bailer <br /> Disposable Bailer Peristaltic Extraction Port <br /> Positive Air Displacement Extraction Pump Dedicated Tubing <br /> Electric Submersible Other Other <br /> )Yell Diameter Multiplier Well Diameter Multiplier <br /> ier <br /> I. 004 4" 0 65 <br /> (Gals)X = Gals 2" 4 16 6" l 47 <br /> I Case Volume Specified Volumes Calculated Volume 3" 037 other radius;0 163 <br /> Temp Conductivity (mS Turbidity <br /> Time (°F or°C) pH or µS) (NTU) Gals Removed Observations <br /> ab1c VT_ 1- tow+arev.,i 1'13 <br /> Did well dewater? Yes No Gallons actually evacuated <br /> Sampling Time Sampling Date <br /> Sample I D Laboratory sT <br /> Analyzed for TPH-G BTEX TPH-D Other B f <br /> Equipment Blank I D @ T�,e Duplicate I D <br /> *nalyzed for TPH-G BTEX MTBE TPH-D Other <br /> DO (if req'd) Pre-purge Mg/L Post-purge mg/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 />