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,J WELL lVI!ONITORLNGDA, A SHEET <br /> Prof ect ,'=' G 1 b f 19- lc-( �Clti_nt i3 <br /> Sampler ,_rt,, � Start Date. <br /> Well I D - 3 I Well Diame-cer 3 6 8 <br /> ,Total Well Depth � 9. 1 ,L Depth to Water N- '7 9 <br /> ,Belot e After Before After <br /> Depth to Free Product I Thickness of Free Product (feet) <br /> Referenced to Pvc Gracie �D O Meter (if req'd) YSI >lacx <br /> Pure Method Sampling Method Baile- <br /> Batler W aterra i_spasable Bailer <br /> Disl3Qsabje Bailer Penstalttc E=acrion Port <br /> tddl 7 Extraction Pump Dedtcaied Tubuna <br /> Electric Submersible Other Other <br /> Well Diameter Nluitrolie*„ -. ell DiamCter, MUitlnller <br /> t 004 4 065 <br /> (Gals )X 3 - -7. Gals '` 0 16 b" 1 47 <br /> [71CTas_tVolume Specified Volumes Calculated Volume 3„ 037 other ratlius'* 163 <br /> Time Temp (T) PH I Codd Turbidity Gals Removed Qbsenlat1o11s <br /> C-10 Vw6V <br /> f <br /> F <br /> dewarer9 Yes Ng Gallons actually evacuated { <br /> T1me 3 U Sampling Date ( - a <br /> Sample I D Laboratory <br /> Analyzed for TPl`I-(Gj' 13TEX MTBE TPH-D Other <br /> r <br /> Equipment Blank I D Tz„e Duplicate I D <br /> Analyzed for TPH-G BTEX MTBE' TPH-D Other <br /> f2'�.. �� mo <br /> L `LL reqru) Pre-purge /1. Post-purge <br /> ORP (if req'd) Pre-purgC mV Post-purge MVI <br /> Maine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 9-3112 (408) 573-0554 <br />