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WELL MONITORING DATA SHEET <br /> Project # d D03 a�- C l�, Client p <br /> Sampler . 1S S Start Date <br /> Well I D. rh(„ - t< Well Diameter. 6-,2 3 4 6 8 <br /> Total Well Depth Depth to Water. tr — <br /> Before After: Before After <br /> Depth to Free Product Thickness of Free Product (feet) <br /> Referenced to LAC Grade DO Meter (if req'd). YS1 HACH <br /> Purge Method Sampling Method Bailer <br /> Bader Waters Disposable Bade <br /> DisposableBail Peristaltic Extraction Port <br /> Middlebur Extraction Pump Dedicated Tubing <br /> Electric Submersible Other Other <br /> Well Diameter Multi tier Well Diameter Multiplier <br /> 1' 004 4" 065 <br /> i� (Gals)X 211 0 16 6" 1 47 <br /> Gals 3" 037 Other radius2•0 163 <br /> Temp Conductivity <br /> Time (T or°C) pH (mS or µS) Turbidity (NTU) Gals Removed Observations <br /> '7/ <br /> 66 <br /> Did well dewater? Yes o Gallons actually evacuated. <br /> Sampling Time. ( 3Q Sampling Date. acj -v `�- <br /> Sample I D rn l�-J- I o Laboratory <br /> Analyzed for f�-)GE9 ,- <br /> x B>4 TPH-D Other <br /> Equipment Blank I D @ Tome Duplicate I.D <br /> nalyzed for. TPH-G BTEX MTBE TPH-D Other <br /> D.O. (if req'd). Pre-purge mg/L Post-purge n,g/L <br /> ORP (if req'd) Pre-purge mV Post-purge inV <br /> Blaine Tech Services. Inc. 1680 Rogers Ave.. San Jose. CA 95112 (4081 573-0555 <br />