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EQUTVA WELL MONITORING DATA SHEET <br /> BTS #: � lS- �/ Site: 99� � <br /> Pler: Date: e,-1-/5--e�2 <br /> Well I.D.: � �� Well Diameter: Cf 3 4 6 8 <br /> Total Well Depth: , y� Depth to Water: � - <br /> ,Depth to Free Product: Thickness of Free Product (feet): <br /> Referenced to: PVC • Grade D.O. Meter (if req'd): Ys1-t HACH <br /> Purge Method: Sampling Method: Bailer <br /> Bailer Waterra Disposable Bailer <br /> Disposable Bare Peristaltic Extraction Port <br /> Middleburg• Extraction Pump Dedicated Tubing <br /> Electric Submersible Other Other. <br /> 1" 0.94 4" 0.65 <br /> (Gals.)X — Gals. Z" 0.16 6* 1.47 <br /> 1 Case Volume Specified Volumes _ Calculated Volume 3' 037 other radius'4 0.163 <br /> Time Temp (°F) pH Cond. - Turbidity Gals. Removed Observations <br /> /3_G <br /> Did well-dewater7 Yes No Gallons actually evacuated: - <br /> Sampling Time: / �. Sampling Date: <br /> Sample I.D.: �1-54- Laboratory: Sequoia Columbia Other <br /> G4 <br /> Analyzed for: -D Other: <br /> EB I.D. (if applicable): @ Time Duplicate I.D. (if applicable): <br /> Analyzed for: TPH-G BTEX MTBE TPH-D Other. <br /> I MR <br /> as (if req�a): Pre-Purge: IT Yost-purge:j & 1L <br /> qW. (if req'd): Pre-purge: mV Post-purge: mV <br /> Blaine Tech Servlces, Inc. 1680 Rogers Ave., San Jose, CA 95112 (408) 573-0555 <br />