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ii <br /> IEQIJ )TA WELL MONUORIN G DATA SHEET <br /> BTS #: D ! b `[ 0Site: <br /> �'"-�" Date: <br /> Sampler: �A "30" <br /> Well I.D.: r Well Diameter: 3 4 6 8 <br /> Total Well Depth: S73 • -7 5► Depth to Water: 4 • 3 9 <br /> Depth to Free Product: Thickness of Free Product (feet): <br /> Referenced to: C Grade D.Q. Meter (if req'd): ys HACH <br /> Purge Method: Sampling Method: ez <br /> Bailer Waterra Disposable Bailer <br /> DispasaLj,c Bailer Peristaltic Extraction Port <br /> ddlebur Extraction Plunp Dedicated Tubing <br /> Electric Submersible Other other: <br /> Well Diameter Mtiltiplier Well Diameter Multiplier <br /> j I" 0.04 4" 0.65 <br /> y• ti315. Z 2" 0.16 6' 1.47 <br /> 3" 0.37 Other radius *0.163 <br /> 1 Case Voluble Specified Volumes Calculated Volume <br /> Time Temp (T) pH Cond. Turbidity Gals.Removed Observations <br /> Ll 1 0H I-J �Ic��• <br /> J` 6 G 711 13 Ll 16 C6 <br /> 10Y. = s" 6 <br /> pi v : 31. <br /> Did well dewater? Yes Gallons actually evacuated: f <br /> Sampling Tune: I dr�~f_ Sampling Date: Ll- 6-d <br /> 5atnple T.D.: Laboratory: q <br /> �"'�- 6 Laborato se u1oia Columbia Other <br /> Analyzed for �TPH�-GB�TEX �MTB �TPH-D Other: <br /> EB I.D. (if applicable): @ Timo Duplicate I.D. (if applicable): <br /> Analyzed for: TPH-G BTEX MTBE TPH-D Other: <br /> D.O. (if rev'd): Pre-purge: mg/l. Post-purge: I-) <br /> O.R.P. (if req'd): Pre-purge: mV Post-purge: nlV <br /> Blaine Tech Services, Inc. 1680 Rogers Ave., San Jose, CA 95112 (408) 573-0555 <br />