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r, <br /> ��r? AMOOk 117ELL MONIT01UNG DATA SHEET <br /> P,Samplei <br /> Site <br /> Date Well Dtannetel( Z) 3 4 6 8 <br /> Total Well Depth 5 Depth to Watei z <br /> Depth to Fi ee Pi oduct Tlucluiess of Fi ee Pi oduct (feet) <br /> Refei enced to CPVCJ Gt ade D O Metei (if ieq'd) Y S1 RACH <br /> Pulge Methodeller waters Sampling Method Bade1 / <br /> /Dispos,ible Ballet Pei istaltie Disposable Badei Y <br /> Mtddlebuig Exhactlon Pump Extraction Pott <br /> Elects is Submeisrble Othel Dedicated Tubing <br /> Otliel <br /> Wd Diameter miattphu <br /> 1" 004 4" 065 <br /> (Gals)Y _ H Gals z" 0 16 6' 1 17 <br /> 1 Case Volume Specified Volumes Calculated Volume 1 3" 037 other tadit,s`j 0 163 <br /> Time Teirnp (°F) pII Cond Tuibidit Gals Removed Obseivattons <br /> 'Z - 1 f� ...�._ <br /> 7 %l. S <br /> Did well dewatel? Yes No Gallons actually evacuated g , <br /> Sampling Time IqW Sampling Date <br /> Sample I D - _ A - Labolatoty Sequoia otl,et <br /> Analyzed fOi P l G B 1 EX iB TPH-D Othei <br /> EB I D (lf applicable) C' <br /> t„„e Duplicate 1 D (if applicable) <br /> A.ilalyzed fOl TP11-0 13TEX MTBE; TM-D Ot13et <br /> O (if leq'd) Pie-Putge Mg/L Post-pure <br /> ORP (if leq'd) 1'te-purge nIV <br /> post-purge <br /> BLAINS <br /> TECH SER%AcrS_ 1880 ROGERS AVE SAN JOSE CA 96112 1105 (406)673 0565 • FAX(406)578 7771 CONTRACTOR S LfCEN° <br />