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SHELF, WELL MONITORING DATA SHEET <br /> BTS #: ( i t l 3a-- cicl Site: <br /> Sampler: C, 1 t-PA 12,c,ac— Date: <br /> Well I.D.: �,,� ti_. - , Well Diameter: 2 3 4 6 8 <br /> Total Well Depth (TD): z-id, t.{ Depth to Water (DTW): t l <br /> Depth to Free Product: Thickness of Free Product (feet): <br /> Referenced to: c Grade ID.O. Meter(if req'd): YSI HACH <br /> DTW with 80% Recharge [(Height of Water Column x 0.20) +DTW]: <br /> Purge Method: Haile' Waterra Sampling Method: 611T <br /> Disposable Bailer Peristaltic Disposable Bailer <br /> Positive Air Displacement Extraction Pump Extraction Port <br /> Electric Submersible Other Dedicated Tubing <br /> Other: <br /> Well Diameter Multiplier Well Diameter Multiplier <br /> i" 0.04 4" 0.65 <br /> _ (�' 2" 0.16 6" 1.47 <br /> (Gals.)X4. Gals. 3" 0.37 Other radius'.0.163 <br /> 1 Case Volume Specified Volumes Calculated Volume <br /> Cond. Turbidity <br /> Time Temp(°F) pH (mS or t (NTUs) Gals.Removed Observations <br /> E,.j6'E.L <br /> Did well dewater? es No Gallons actually evacuated: '.0 <br /> Sampling Date: 4 Sampling Time: 15(_() Depth to Water: el­ <br /> Sample I.D.: M \rj E .> Laboratory: . Te eri a Other <br /> Analyzed for: TPH-G BTEX MTBE TPH-D Oxygenates (5) Other: S&-E Coc.— <br /> EB I.D. (if applicable): @ I-Ime Duplicate I.D. (if applicable): <br /> Analyzed for: TPH-G BTEX MTBE TPH-D Oxygenates (5) Other: <br /> D-Q. (if req'd): Pie-purge: mg/L Post-purge: mg/L <br /> O.R.P. (if req'd): Pre-purge: mV Post-purge: mV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (800) 545-7558 <br />