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WELL MONITORING DATA SHEET <br /> Project #• OO Client <br /> Sampler G Start Date, _ p2 <br /> Well I D : _ Well Diameter: 2 3 4 6 8 <br /> Total Well Depth `�a , j Depth to Water- 13 , ) -5 <br /> Before After: Before- After <br /> Depth to Free Product Thickness of Free Product (feet) <br /> Referenced to: Ovc Grade D.O Meter (if req'd) Ysi HACH <br /> Purge Method Sampling Method Bailer / <br /> Bailer Waterra Disposable Bailer✓ <br /> Disposable Bailer Peristaltic Extraction Port <br /> Middleburg extraction Pump Dedicated Tubing <br /> Electric Submersible Other Other <br /> Well Diameter Multi leer Well Diameter Mulu Ler <br /> 1•, 0 04� 4" 0 65.o (Gals)X _ 3 2„ 016 1 47 <br /> Gals 3" 037 Other radius'*0 163 <br /> Temp. Conductivity <br /> Time (°F or°C) pH (mS or µS) Turbidity (NTU) Gals Removed Observations <br /> �S� -p <br /> OTw r <br /> Did well dewater? Yes o Gallons actually evacuated. <br /> i <br /> Sampling Time. 1 (� Sampling Date. <br /> Sample LD : y1� pj Laboratory: Ra ce <br /> Analyzed for' f H- ITEVTB TPH-D Other <br /> Equipment Blank I D : @ Fimc Duplicate I.D . <br /> AM alyzed for TPH-G BTEX MTBE TPH-D Other <br /> DO (if req'd) Pre-purge mg/L Post-purge ms/L <br /> ORP (if req'd) Pre-purge znV Post-purge mV <br /> Blaine Tech services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (4081 s73_n�s� <br />