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�. <br /> EQU VA WELL MONITORING DATA SHEET <br /> BTS #: Site: <br /> Sampler: Date: <br /> Well I.D.: Well Diameter: (1�> 3 4 6 S <br /> Total Well D the � 2 Depth to Water: t <br /> Depth to Free Product: Thickness of Free Product (feet): <br /> Referenced to: PVC ' Grade D.O. Meter (if req'd): Ysr. xAcx <br /> Purge Method: Sampling Method: Bailer <br /> Baiter W,aterra Disposable,Bailer <br /> Disposable Bailer Peristaltic Extraction Port <br /> Middleburg Extraction Pump Dedicated Tubing <br /> Electric Submersible Other Other: <br /> in 0.04 4" 0.65 <br /> / r <br /> (Gals.)3C Gals._ 2" 0.16 6" 1.47 <br /> • <br /> dhis <br /> 1 Case Volume Specified Volumes _ Calculated Volume 3" 037 Other rp _10.IS <br /> Time Temp (°F) pH Cond. Turbidity Gals.Removed Observations <br /> T <br /> 1 <br /> Did well dewater? Yes o Gallons actually evacuated: <br /> Sampling Time: Sampling Date: <br /> Sample I.D.: �f .�j Laboratory: Sequoia Columbia Other A <br /> Analyzed for: -D Other. <br /> EB i.D. (if applicable): @ „� Duplicate I.D. (if applicable): <br /> Analyzed for: TPH-G BTEX MTBE TPH-D Other- <br /> D.O. <br /> therD.O. (if req'd): Pre-purge: mg/L Post-purge:, ' mgIL <br /> O.R.P. (if req'd): Pre-purge: mV Post-purge: m <br /> Blaine Tech Services, Inc, 1680 Rogers Ave., San Jose, CA 95112 (408) 573-0555 <br />